NPIMap

Individual provider Active NPI

Huijian James Wang, MD

  • Cardiovascular Disease Physician
  • Ormond Beach, FL
National Provider Identifier
1043488661
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME101341 Issued in FL
Practice address
1240 W Granada Blvd FL 2
Ormond Beach, FL 32174-5915
Phone
(386) 672-1023
Fax
(386) 263-2996
NPI assigned
Feb 16, 2008
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35.089536 OH
Cardiovascular Disease Physician 207RC0000X ME101341 FL Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X 35.089536 OH
Clinical Cardiac Electrophysiology Physician 207RC0001X ME101341 FL

Addresses

Primary practice location

1240 W Granada Blvd FL 2
Ormond Beach, FL 32174-5915

Mailing address

PO Box 291427
Port Orange, FL 32129-1427
Phone (386) 672-1023

Other practice location 1

926 Saxon Blvd
Orange City, FL 32763-8313
Phone (386) 672-1023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080908000494 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 1153497581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Cardiology Care PAGroup PAC ID 9638244635, 7 clinicians
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

1240 W Granada Blvd
2ND Floor
Ormond Beach, FL 32174-5915
Phone (386) 672-1023

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.29 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair22
Varicose vein removal65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.089536OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Volusia Healthcare Corporation CurrentSince Aug 15, 2018 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Dec 1, 2024 Accepting new patients
Complete Cardiology Care, P.a. Cardiovascular Disease CurrentSince Jul 1, 2008 Accepting new patients
Southeast Volusia Medical Services Inc Cardiovascular Disease Past Accepting new patients
Halifax Healthcare Systems Inc Past Accepting new patients

Locations

301 Memorial Medical Pkwy
Daytona Beach, FL 32117
Phone (386) 231-3906

305 Memorial Medical Pkwy
Ste 300
Daytona Beach, FL 32117
Phone (386) 231-3513

161 N Causeway
Ste C
New Smyrna Beach, FL 32169
Phone (386) 402-7827

508 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 270-0659

600 Palmetto St
#1
New Smyrna Beach, FL 32168
Phone (386) 424-5000

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

926 Saxon Blvd
Orange City, FL 32763
Phone (386) 774-1881

1240 W Granada Blvd
Ste 2
Ormond Beach, FL 32174
Phone (386) 424-8440

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: huijian.wang@ccc.eclinicaldirectplus.com

Organizations & group practices 5

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

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": "1203120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1043488661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291427",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321291427",
            "telephone_number": "386-672-1023",
            "fax_number": "386-263-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 W GRANADA BLVD FL 2",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745915",
            "telephone_number": "386-672-1023",
            "fax_number": "386-263-2996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "926 Saxon Blvd",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327638313",
            "country_code": "US",
            "telephone_number": "386-672-1023",
            "fax_number": "386-263-2996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "HUIJIAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-16",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.089536",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME101341",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OH",
            "license": "35.089536",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME101341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.