Individual provider Active NPI

Hailun Wang, M.D.

  • Otolaryngology Physician
  • Farmington, CT
National Provider Identifier
1174815096
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
56771 Issued in CT
Practice address
21 South Rd Ste 112
Farmington, CT 06032-2482
Phone
(860) 284-4950
Fax
(860) 284-4951
NPI assigned
May 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD457354 PA
Otolaryngology Physician 207Y00000X 56771 CT Primary

Addresses

Primary practice location

21 South Rd Ste 112
Farmington, CT 06032-2482

Mailing address

21 South Rd
Suite 112
Farmington, CT 06032-2482
Phone (860) 284-4950

Other practice location 1

1400 Locust St
UPP-Otolaryngology, Suite 2100
Pittsburgh, PA 15219-5114
Phone (412) 232-3687

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hwang11054@direct.med.uchc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160527000022 PA Practitioner - Otolaryngology 6709176092 Reassigns benefits to 1 organization
I20171011001894 CT Practitioner - Otolaryngology 6709176092 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Connecticut School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Connecticut Health CenterGroup PAC ID 3678472016, 624 clinicians
Ear Nose and Throat Institute of Connecticut PLLCGroup PAC ID 4284078296, 25 clinicians

Practice addresses (Care Compare)

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

599 Farmington Ave
Suite 102
Farmington, CT 06032-2383
Phone (860) 284-4950

Hospital & facility affiliations

  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002
  • John Dempsey Hospital of the University of Connect Hospital, Farmington, CT, CCN 070036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Otolaryngology CurrentSince Sep 5, 2017 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Ear, Nose & Throat Institute of Connecticut PLLC Otolaryngology CurrentSince Dec 21, 2023 Accepting new patients
University of Connecticut Health Center CurrentSince Dec 15, 2017 Accepting new patients
University of Pittsburgh Physicians Otolaryngology CurrentSince Jul 1, 2016 Accepting new patients
University of Connecticut Health Center CurrentSince Dec 15, 2017 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2016 Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

580 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 243-8709

4 Northwestern Dr
Ste 100
Bloomfield, CT 06002
Phone (860) 243-3344

599 Farmington Ave
Ste 102
Farmington, CT 06032
Phone (860) 284-4950

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

21 South Rd
Ste 112
Farmington, CT 06032
Phone (860) 284-4940

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

622 Hebron Ave
Ste 201
Glastonbury, CT 06033

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

515 Middle Tpke W
Manchester, CT 06040
Phone (860) 533-4176

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

200 Lothrop St
Ste 300
Pittsburgh, PA 15213
Phone (412) 647-2100

1400 Locust St
Ste 2100
Pittsburgh, PA 15219
Phone (412) 232-3687

Interoperability endpoints

  • Direct secure messaging: hailun.wang.npi1174815096.phpct@direct.optumcare.masshiway.net

Organizations & group practices 8

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 7

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": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1174815096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SOUTH RD",
            "address_2": "SUITE 112",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322482",
            "telephone_number": "860-284-4950",
            "fax_number": "860-284-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SOUTH RD STE 112",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322482",
            "telephone_number": "860-284-4950",
            "fax_number": "860-284-4951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Locust St",
            "address_2": "UPP-Otolaryngology, Suite 2100",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152195114",
            "country_code": "US",
            "telephone_number": "412-232-3687",
            "fax_number": "412-232-8488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "HAILUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD457354",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "56771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hwang11054@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "Uconn Medical Group",
            "address_2": "263 Farmington Avenue",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060300001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.