Jack-Ky Wang, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

50353-020 Issued in WI

Practice address

1905 E. Huebbe Parkway
Beloit Health System, Inc
Beloit, WI 53511-1842

Phone

(608) 364-2410

Fax

(608) 364-1287

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI, IL2 enrollments

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 2

Specialty

Family Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beloit Health System IncGroup PAC ID 8224947858, shared by 4 NPIs, 138 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Interim Healthcare of Wisconsin Home health agency, Madison, WI, CCN 527320
• Commonheart Home Health Home health agency, Waukesha, WI, CCN 527151
• Beloit Regional Hospice Hospice, Beloit, WI, CCN 521525
• Agrace Hospicecare Hospice, Madison, WI, CCN 521505
• Beloit Health System Hospital, Beloit, WI, CCN 520100
• University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098
• Autumn Lake Healthcare at Beloit Nursing home, Beloit, WI, CCN 525663

Merit-based Incentive Payment System (MIPS)

Final score

80.93 of 100Reported as group

Quality

64.82

Promoting interoperability

100

Improvement activities

40

Cost

71.63

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Beloit Health System Inc

  • General Practice Physician
  • Beloit, WI
  • NPI 1679616361

  Family Medicine

  Medicare reassignment NPD
• Beloit Health System Inc

  • General Practice Physician
  • Roscoe, IL
  • NPI 1841485984

  Family Medicine

  Medicare reassignment NPD
• Beloit Clinic, S.C.

  • Internal Medicine Physician
  • Beloit, WI
  • NPI 1548345887

  Family Medicine

  NPD
• Beloit Health System, Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Beloit, WI
  • NPI 1568677417
  NPD
• Beloit Health System, Inc

  • Family Medicine Physician
  • Janesville, WI
  • NPI 1407999337
  NPD (past)

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

• Agrace Hospicecare, Incorporated

  • Community Based Hospice Care Agency
  • Fitchburg, WI
  • NPI 1861503534
  Care Compare affiliation
• Aj Operations, LLC

  • Skilled Nursing Facility
  • Beloit, WI
  • NPI 1225504855

  Nursing home

  Care Compare affiliation
• Beloit Health System Inc

  • Community Based Hospice Care Agency
  • Beloit, WI
  • NPI 1588667349
  Care Compare affiliation
• Beloit Health System Inc

  • General Acute Care Hospital
  • Beloit, WI
  • NPI 1982780094
  Care Compare affiliation
• Big Hittters LLC

  • Home Health Agency
  • Madison, WI
  • NPI 1144518648
  Care Compare affiliation
• Commonheart, Inc.

  • Home Health Agency
  • Waukesha, WI
  • NPI 1629071121
  Care Compare affiliation
• University of Wisconsin Hospitals and Clinics Authority

  • General Acute Care Hospital
  • Madison, WI
  • NPI 1922043744
  Care Compare affiliation

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1093744617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 E. HUEBBE PARKWAY",
            "address_2": "BELOIT HEALTH SYSTEM, INC",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111842",
            "telephone_number": "608-364-2410",
            "fax_number": "608-364-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 E. HUEBBE PARKWAY",
            "address_2": "BELOIT HEALTH SYSTEM, INC",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111842",
            "telephone_number": "608-364-2410",
            "fax_number": "608-364-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JACK-KY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "50353-020",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-108395",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093744617",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Melony Dawn Walsh, MS ED, LPC-IT
• Christal Walthius
• Hailong Wang, MD
• Tsu-Hon Wang, MD
• Judith Marie Warnke, O.T.
• Georgia J Waterman, OTA
• Aaron D Weber, OCCUPATIONAL THERAPI
• Megan Weber

• Family Medicine Physician in Beloit, WI
• Providers in Beloit, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.