Individual provider Active NPI

Diana Yun-Guan Wang, MD

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1144425786
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N1214 Issued in TX
Practice address
12200 Renfert Way
Suite 100
Austin, TX 78758-5654
Phone
(512) 451-8211
Fax
(512) 450-1146
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X N1214 TX Primary

Addresses

Primary practice location

12200 Renfert Way
Suite 100
Austin, TX 78758-5654

Mailing address

12200 Renfert Way
Suite 100
Austin, TX 78758-5654
Phone (512) 451-8211

Other identifiers 1

IdentifierTypeStateIssuer
206850401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090901000287 TX Practitioner - Obstetrics/Gynecology 9234284985 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unified Womens Healthcare of Texas PLLCGroup PAC ID 4385944230, 180 clinicians

Practice addresses (Care Compare)

12201 Renfert Way
Suite 305
Austin, TX 78758-5371
Phone (512) 580-4766

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.86 of 100Reported as group
Quality
85.25
Promoting interoperability
100
Improvement activities
40
Cost
74.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N1214TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aa OBGYN PLLC Obstetrics & Gynecology CurrentSince Jul 1, 2013 Accepting new patients
Unified Women's Healthcare of Texas PLLC Obstetrics & Gynecology CurrentSince Feb 14, 2023 Accepting new patients
Randall Burt MD PA Current Accepting new patients
Steven R. Macdonald, M.D., P.a. Current Accepting new patients
St Davids Healthcare Partnership LP LLP Past Accepting new patients

Locations

12201 Renfert Way
Ste 305
Austin, TX 78758
Phone (513) 279-3376

12200 Renfert Way
Ste 100
Austin, TX 78758
Phone (512) 451-8211

6124 W Parker Rd
Ste 134
Plano, TX 75093
Phone (972) 981-7777

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11541/brand/82/csg/1161/fhir/r4
  • Direct secure messaging: diana.wang.1@11541.direct.athenahealth.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 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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1144425786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 RENFERT WAY",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585654",
            "telephone_number": "512-451-8211",
            "fax_number": "512-450-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 RENFERT WAY",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585654",
            "telephone_number": "512-451-8211",
            "fax_number": "512-450-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "DIANA",
        "middle_name": "YUN-GUAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N1214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206850401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.