NPIMap

Individual provider Active NPI

Quan Wang, M.D.

  • Specialist
  • Greenbelt, MD
National Provider Identifier
1043475676
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036115953 Issued in IL
Practice address
7500 Greenway Center Dr
Suite #930
Greenbelt, MD 20770-3502
Phone
(301) 345-2412
NPI assigned
Jul 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036115953 IL Primary
Nephrology Physician 207RN0300X 036005953 IL

Addresses

Primary practice location

7500 Greenway Center Dr
Suite #930
Greenbelt, MD 20770-3502

Mailing address

7500 Greenway Center Dr
Suite #930
Greenbelt, MD 20770-3502
Phone (301) 345-2412

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111114000505 DC Practitioner - NephrologyPractitioner - Internal Medicine 3476694878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Nephrology, PCGroup PAC ID 6608891148, 9 clinicians

Practice addresses (Care Compare)

7500 Greenway Ctr Dr
Suite 930
Greenbelt, MD 20770-3587
Phone (301) 345-2412

Hospital & facility affiliations

  • DaVita Renal Care of Lanham Dialysis facility, Lanham, MD, CCN 212552
  • Holy Cross Dialysis Center - Woodmore Dialysis facility, Mitchellville, MD, CCN 213503
  • DaVita Laurel Lakes Dialysis Dialysis facility, Laurel, MD, CCN 212724
  • Luminis Health Doctors Community Medical Ctr, Inc Hospital, Lanham, MD, CCN 210051
  • Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016
  • Holy Cross Hospital Hospital, Silver Spring, MD, CCN 210004
  • University of MD Capital Region Medical Center Hospital, Upper Marlboro, MD, CCN 210003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036005953ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Nephrology, PC Nephrology CurrentSince Sep 19, 2012 Accepting new patients

Locations

7500 Greenway Center Dr
Ste 930
Greenbelt, MD 20770
Phone (301) 345-2412

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 8

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": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1043475676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 GREENWAY CENTER DR",
            "address_2": "SUITE #930",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703502",
            "telephone_number": "301-345-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 GREENWAY CENTER DR",
            "address_2": "SUITE #930",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703502",
            "telephone_number": "301-345-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "QUAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036115953",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036005953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.