Individual provider Active NPI

Sylvia Wang, MD

  • Internal Medicine Physician
  • Kailua, HI
National Provider Identifier
1043254113
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD10946 Issued in HI
Practice address
414 Uluniu St
Kailua, HI 96734-2517
Phone
(808) 261-8345
Fax
(808) 262-5239
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10946 HI
Internal Medicine Physician 207R00000X MD10946 HI Primary

Addresses

Primary practice location

414 Uluniu St
Kailua, HI 96734-2517

Mailing address

414 Uluniu St
Medical Clinic Inc
Kailua, HI 96734-2517
Phone (808) 261-8345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091201000154 HI Practitioner - Internal Medicine 8224177480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Clinic IncGroup PAC ID 8921998808, 7 clinicians

Practice addresses (Care Compare)

1329 Lusitana St
Suite 202
Honolulu, HI 96813-2401
Phone (808) 523-1600

414 Uluniu St
Kailua, HI 96734-2517
Phone (808) 261-8345

414 Uluniu St
Kailua, HI 96734-2556

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10946HIMDInternal Medicine Physician
MD10946HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic, Inc. Internal Medicine CurrentSince Nov 1, 2000 Accepting new patients

Locations

1329 Lusitana St
Ste 602
Honolulu, HI 96813
Phone (808) 522-5055

1329 Lusitana St
Ste 202
Honolulu, HI 96813
Phone (808) 526-0884

414 Uluniu St
Kailua, HI 96734
Phone (808) 261-8345

Networks

  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
  • HI PPO

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1043254113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 ULUNIU ST",
            "address_2": "MEDICAL CLINIC INC",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342517",
            "telephone_number": "808-261-8345",
            "fax_number": "808-262-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 ULUNIU ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342517",
            "telephone_number": "808-261-8345",
            "fax_number": "808-262-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "SYLVIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "10946",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD10946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.