Individual provider Active NPI

Hao Wang, M.D, P.H.D

  • Dermatology Physician
  • Kirkland, WA
National Provider Identifier
1093873036
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD00040931 Issued in WA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924001367 WA Practitioner - Dermatology 3072405638 Reassigns benefits to 1 organization

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 Hospital, Kirkland, WA, CCN 500124

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as apm
Quality
74.6
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.61 of 100Reported as individual
Quality
79.23
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision135
Removal of skin lesions1630
Removal of nail tissue1-10
Removal or shaving of skin growth26
Skin biopsy492

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00040931WAMDDermatology 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.