Individual provider Active NPI

Todd Wang, D.O.

  • Family Medicine Physician
  • Horseheads, NY
National Provider Identifier
1104288281
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
296968 Issued in NY
Practice address
100 John Roemmelt Dr Ste 301
Horseheads, NY 14845-8304
Phone
(607) 739-0352
NPI assigned
Mar 28, 2016
Last updated
Apr 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS14866 FL
Family Medicine Physician 207Q00000X 296968 NY Primary

Addresses

Primary practice location

100 John Roemmelt Dr Ste 301
Horseheads, NY 14845-8304

Mailing address

571 Saint Josephs Blvd
FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190604002164 NY Practitioner - Family Practice 5799079976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arnot Ogden Medical CenterGroup PAC ID 5395798417, 219 clinicians
Arnot Medical Services PLLCGroup PAC ID 0840450748, 91 clinicians

Practice addresses (Care Compare)

100 John Roemmelt Dr
Suite 301
Horseheads, NY 14845-8304
Phone (607) 739-0352

600 Roe Ave
Elmira, NY 14905-1629
Phone (607) 737-7770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
55.31
Promoting interoperability
99
Improvement activities
40
Cost
76.8

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
46.76
Promoting interoperability
100
Improvement activities
40
Cost
77.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS14866FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arnot Ogden Medical Center CurrentSince Jul 1, 2019 Accepting new patients
Arnot Medical Services PLLC Family Medicine CurrentSince Nov 19, 2019 Accepting new patients
Arnot Ogden Medical Center CurrentSince Jul 1, 2019 Accepting new patients

Locations

123 Conhocton St
Ste 101
Corning, NY 14830
Phone (607) 438-1200

555 Saint Josephs Blvd
Elmira, NY 14901
Phone (607) 733-6541

571 Saint Josephs Blvd
Fl 2
Elmira, NY 14901
Phone (607) 271-2050

571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

100 John Roemmelt Dr
Ste 301
Horseheads, NY 14845
Phone (607) 739-0352

Interoperability endpoints

  • Direct secure messaging: todd.wang@arn.eclinicaldirectplus.com

Organizations & group practices 3

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 5

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1104288281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 SAINT JOSEPHS BLVD",
            "address_2": "FL 2",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013230",
            "telephone_number": "607-271-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JOHN ROEMMELT DR STE 301",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458304",
            "telephone_number": "607-739-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14866",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "296968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horseheads, NY

Sources for this page

Verify at the official NPI Registry.