Active NPI
Hao Wang, M.D, P.H.D
- Dermatology Physician
- Kirkland, WA
National Provider Identifier
1093873036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD00040931
- Practice address
- 12815 120TH Ave NE Ste C
Kirkland, WA 98034-3003 - Phone
- (425) 821-6363
- Fax
- (425) 821-4804
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD00040931 | WA | Primary |
Addresses
Primary practice location
12815 120TH Ave NE Ste C
Kirkland, WA 98034-3003
Mailing address
12815 120TH Ave NE Ste C
Kirkland, WA 98034-3003
Phone (425) 821-6363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12815 120TH Ave NE
Suite C
Kirkland, WA 98034-3003
Phone (425) 821-8843
12815 120TH Ave NE C
Kirkland, WA 98034-3003
Hospital & facility affiliations
- Evergreenhealth Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 74.6
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.61 of 100
- Quality
- 79.23
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 135 |
| Removal of skin lesions | 1630 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 26 |
| Skin biopsy | 492 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00040931 | WA | MD | Dermatology Physician |
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.
-
- Dermatology Physician
- Kirkland, WA
- NPI 1124204888
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093873036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12815 120TH AVE NE STE C",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343003",
"telephone_number": "425-821-6363",
"fax_number": "425-821-4804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12815 120TH AVE NE STE C",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343003",
"telephone_number": "425-821-6363",
"fax_number": "425-821-4804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "HAO",
"name_prefix": "Dr.",
"credential": "M.D, P.H.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WA",
"license": "MD00040931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.