Individual provider Active NPI

Emily Wailin Hung, MD

  • Rheumatology Physician
  • Shenandoah, TX
National Provider Identifier
1043374366
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
N7109 Issued in TX
Practice address
129 Vision Park Blvd
Shenandoah, TX 77384-3023
Phone
(936) 273-3900
Fax
(936) 273-3901
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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 MT188607 PA
Rheumatology Physician 207RR0500X N7109 TX Primary

Addresses

Primary practice location

129 Vision Park Blvd
Shenandoah, TX 77384-3023

Mailing address

129 Vision Park Blvd
Shenandoah, TX 77384-3023
Phone (936) 273-3900

Other identifiers 1

IdentifierTypeStateIssuer
713035OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111116000885 TX Practitioner - RheumatologyPractitioner - Internal Medicine 9638343247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Baylor College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodlands Arthritis Clinic, PAGroup PAC ID 1052567591, 4 clinicians

Practice addresses (Care Compare)

129 Vision Park Blvd
Suite 211a
Shenandoah, TX 77384-3024
Phone (936) 273-3900

Merit-based Incentive Payment System (MIPS)

Final score
85.9 of 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40
Cost
63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT188607PAMDInternal Medicine Physician
N7109TXMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlands Arthritis Clinic PA CurrentSince Dec 4, 2018 Accepting new patients

Locations

101 Vision Park Blvd
Ste 100
Shenandoah, TX 77384
Phone (936) 266-3513

129 Vision Park Blvd
Ste 211A
Shenandoah, TX 77384
Phone (936) 273-3900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GACJBA/Endpoint/GACJBA

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1043374366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 VISION PARK BLVD",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843023",
            "telephone_number": "936-273-3900",
            "fax_number": "936-273-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 VISION PARK BLVD",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843023",
            "telephone_number": "936-273-3900",
            "fax_number": "936-273-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNG",
        "first_name": "EMILY",
        "middle_name": "WAILIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT188607",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "N7109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "713035",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.