Active NPI
Rui Wang, MD
- Ophthalmology Physician
- Hixson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 75789
- Practice address
- 1961 Northpoint Blvd Ste 110
Hixson, TN 37343-4556 - Phone
- (423) 756-1002
- NPI assigned
- Mar 27, 2020
- Last updated
- Jul 17, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 75789 | TN | Primary |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 75789 | TN | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 2024007822 | MO |
Addresses
Primary practice location
1961 Northpoint Blvd Ste 110
Hixson, TN 37343-4556
Mailing address
9050 Executive Park Dr Ste 202a
Knoxville, TN 37923-4670
Phone (865) 588-0811
Other practice location 1
1600 S Brentwood Blvd Ste 700
Brentwood, MO 63144-1304
Phone (314) 367-1181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL, TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Texas a & M University System, HSC, College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1009 42ND St
Suite 3
Mt Vernon, IL 62864-6218
Phone (314) 367-1181
12106 Tesson Ferry Rd
Saint Louis, MO 63128-1729
Phone (314) 367-1181
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.24 of 100
- Quality
- 95.45
- Promoting interoperability
- 72
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Retina Associates, P.C. | Single Specialty | Current | Accepting new patients |
| River Rock Behavioral Health, LLC | Single Specialty | Current | Accepting new patients |
| Retina Consultants, LLC | Single Specialty | Current | Accepting new patients |
| Hermann Area Hospital District | Single Specialty | Past | Accepting new patients |
| The Retina Institute LLC | Single Specialty | Past | Accepting new patients |
| Southeastern Retina Associates, P.C. | Single Specialty | Past | Accepting new patients |
Locations
1506 N Thornton Ave
Ste D
Dalton, GA 30720
Phone (706) 229-5980
210 Redmond Rd NW
Rome, GA 30165
Phone (706) 234-8221
903 Medical Park Dr
Effingham, IL 62401
Phone (217) 347-2933
5 Country Club Executive Park
Glen Carbon, IL 62034
Phone (314) 567-7771
5 Country Club Executive Park
#P
Glen Carbon, IL 62034
Phone (800) 888-0011
1009 S 42nd St
Ste 3
Mount Vernon, IL 62864
Phone (618) 244-6161
1125 Hampshire St
Quincy, IL 62301
Phone (217) 222-3937
1600 S Brentwood Blvd
Ste 700
Brentwood, MO 63144
226 S Woods Mill Rd
Ste 50W
Chesterfield, MO 63017
17 The Boulevard Saint Louis
Saint Louis, MO 63117
2201 S Brentwood Blvd
Saint Louis, MO 63144
Phone 31436711812267
8820 Ladue Rd
Ste 203
Saint Louis, MO 63124
Phone 31436711812267
5770 Mexico Rd
Ste D
Saint Peters, MO 63376
Phone (314) 842-2020
232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030
1606 Gunbarrel Rd
Ste 1
Chattanooga, TN 37421
1961 Northpoint Blvd
Ste 110
Hixson, TN 37343
9050 Executive Park Dr
Ste 202A
Knoxville, TN 37923
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f62890b5-77ff-44bd-a981-0a0981047b35/
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- rwang@rcstl.intellechartdirect.net
Organizations & group practices 6
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.
-
dba The Retina Institute
- Retina Specialist (Ophthalmology) Physician
- Brentwood, MO
- NPI 1700175395
IL, Single Specialty
-
- Retina Specialist (Ophthalmology) Physician
- Hixson, TN
- NPI 1104097310
GA, Single Specialty
-
- Clinical Psychologist
- Saint Louis, MO
- NPI 1376157453
Single Specialty
-
- Retina Specialist (Ophthalmology) Physician
- Knoxville, TN
- NPI 1932200664
Single Specialty
-
dba Hermann Area District Hospital
- Family Medicine Physician
- Hermann, MO
- NPI 1083749188
Single Specialty
-
dba Barnes Retina Institute
- Ophthalmology Physician
- Saint Louis, MO
- NPI 1407858673
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Luke's Hospital
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1154958171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9050 EXECUTIVE PARK DR STE 202A",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234670",
"telephone_number": "865-588-0811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1961 NORTHPOINT BLVD STE 110",
"city": "HIXSON",
"state": "TN",
"postal_code": "373434556",
"telephone_number": "423-756-1002"
}
],
"practiceLocations": [
{
"address_1": "1600 S Brentwood Blvd Ste 700",
"address_purpose": "LOCATION",
"city": "Brentwood",
"state": "MO",
"postal_code": "631441304",
"country_code": "US",
"telephone_number": "314-367-1181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "RUI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-27",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TN",
"license": "75789",
"primary": true
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "TN",
"license": "75789",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "MO",
"license": "2024007822",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.