Active NPI
Min Wang, MD
- Anesthesiology Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 44655
- Practice address
- 4231 W 16TH Ave
Denver, CO 80204-1335 - Phone
- (719) 537-0712
- Fax
- (719) 537-6284
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD217385 | OR | |
| Anesthesiology Physician | 207L00000X | 44655 | CO | Primary |
Addresses
Primary practice location
4231 W 16TH Ave
Denver, CO 80204-1335
Mailing address
PO Box 150
Holly, CO 81047-0150
Phone (719) 537-0712
Other practice location 1
10350 E Dakota Ave
Denver, CO 80247-1314
Phone (303) 338-4545
Other practice location 2
3600 NW Samaritan Dr
Corvallis, OR 97330-5472
Phone (541) 768-5111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43787886 | Medicaid | CO |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) | |
| Direct Messaging Address | mwang268072@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 299-9906
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44655 | CO | MD | Anesthesiology Physician |
| MD217385 | OR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Washington - TCS | Anesthesiology | Current | Accepting new patients |
| Anesthesia Consulting Partners, PLLC | Anesthesiology | Current | Accepting new patients |
| Oregon Anesthesiology Group PC | Anesthesiology | Current | Accepting new patients |
| US Anesthesia Partners of Colorado Inc. | Anesthesiology | Current | Accepting new patients |
Locations
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
9191 Grant St
Thornton, CO 80229
Phone (303) 246-5003
3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906
3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
707 SW Washington St
Ste 700
Portland, OR 97205
Interoperability endpoints
- mwang268072@samhealth.direct-ci.com
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Portland, OR
- NPI 1477527786
-
- Anesthesiology Physician
- Thornton, CO
- NPI 1891408050
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
-
- Anesthesiology Physician
- Portland, OR
- NPI 1649816380
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Legacy Good Samaritan Providers
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1194770073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 150",
"city": "HOLLY",
"state": "CO",
"postal_code": "810470150",
"telephone_number": "719-537-0712",
"fax_number": "719-537-6284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4231 W 16TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802041335",
"telephone_number": "719-537-0712",
"fax_number": "719-537-6284"
}
],
"practiceLocations": [
{
"address_1": "10350 E Dakota Ave",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802471314",
"country_code": "US",
"telephone_number": "303-338-4545",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3600 NW Samaritan Dr",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973305472",
"country_code": "US",
"telephone_number": "541-768-5111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "MIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "MD217385",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "44655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43787886",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "10350 E Dakota Ave",
"city": "Denver",
"state": "CO",
"country_code": "US",
"postal_code": "802471314",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mwang268072@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "3600 NW Samaritan Dr",
"city": "Corvallis",
"state": "OR",
"country_code": "US",
"postal_code": "973305472",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.