Individual provider Active NPI

Jingya Wang, M.D.

  • Radiation Oncology Physician
  • Baton Rouge, LA
National Provider Identifier
1174765192
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
207864 Issued in LA
Practice address
4950 Essen LN
Baton Rouge, LA 70809-3738
Phone
(225) 767-0847
Fax
(225) 766-0218
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP20040744 TX
Student in an Organized Health Care Education/Training Program 390200000X
Radiation Oncology Physician 2085R0001X 207864 LA Primary

Addresses

Primary practice location

4950 Essen LN
Baton Rouge, LA 70809-3738

Mailing address

4950 Essen LN
Baton Rouge, LA 70809-3738
Phone (225) 767-0847

Other identifiers 1

IdentifierTypeStateIssuer
2393481MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20150720002182 LA Practitioner - Radiation Oncology 0941513907 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Johns Hopkins University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Elizabeth-Mary Bird Perkins Cancer Center, L.L.C.Group PAC ID 8628222551, 10 clinicians
Mary Bird Perkins Cancer CenterGroup PAC ID 4385646280, 95 clinicians

Practice addresses (Care Compare)

1104 W Hwy 30
Gonzales, LA 70737-5003
Phone (225) 215-1321

15728 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone (985) 542-5000

4950 Essen LN
Baton Rouge, LA 70809-3738
Phone (225) 767-0847

4950 Essen LN
Suite 500
Baton Rouge, LA 70809-3482
Phone (225) 767-0847

Hospital & facility affiliations

  • Womans Hospital Hospital, Baton Rouge, LA, CCN 190128
  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207864LAMDRadiation Oncology Physician
BP20040744TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Center - Zachary CurrentSince Mar 3, 2024 Accepting new patients
Mary Bird Perkins Cancer Center Radiation Oncology CurrentSince Aug 1, 2015 Accepting new patients
Baton Rouge General Medical Center Current Accepting new patients
St. Elizabeth-Mary Bird Perkins Cancer Center, L.L.C. Radiation Oncology CurrentSince Aug 1, 2015 Accepting new patients
Radiation Oncology Center - Zachary, LLC Current Accepting new patients
Baton Rouge General Medical Center CurrentSince Oct 1, 2023 Accepting new patients
Baton Rouge General Medical Center Past Accepting new patients

Locations

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

3401 North Blvd
Baton Rouge, LA 70806
Phone (225) 381-2755

4950 Essen Ln
Ste 500
Baton Rouge, LA 70809
Phone (225) 765-8823

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

1203 S Tyler St
Ste 100
Covington, LA 70433
Phone (985) 875-2234

1104 W Highway 30
Gonzales, LA 70737
Phone (225) 215-1321

15728 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 542-5000

8166 Main St
Ste 101
Houma, LA 70360
Phone (985) 876-9045

4950 Essen Ln
St George, LA 70809
Phone (225) 767-0847

6180 Main St
Ste B
Zachary, LA 70791
Phone (225) 381-6550

Interoperability endpoints

  • Direct secure messaging: jingya.wang@directaddress.net

Organizations & group practices 7

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 2

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1174765192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 ESSEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093738",
            "telephone_number": "225-767-0847",
            "fax_number": "225-766-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 ESSEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093738",
            "telephone_number": "225-767-0847",
            "fax_number": "225-766-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JINGYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP20040744",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "LA",
            "license": "207864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2393481",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.