Individual provider Active NPI

Fikre S Wang, M.D.

  • Surgery Physician
  • New Orleans, LA
National Provider Identifier
1265448617
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD200720 Issued in LA
Practice address
1302 Marengo St
Suite a
New Orleans, LA 70115-3813
Phone
(504) 232-7249
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD200720 LA Primary

Addresses

Primary practice location

1302 Marengo St
Suite a
New Orleans, LA 70115-3813

Mailing address

1302 Marengo St
Suite a
New Orleans, LA 70115-3813
Phone (504) 232-7249

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
I20060925000197 LA Practitioner - General Surgery 5496750515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Howard University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3600 Prytania St
Suite 71
New Orleans, LA 70115-3644
Phone (504) 899-4744

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue115
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD200720LAMDSurgery Physician
200720LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fikre S. Wang MD LLC Surgery CurrentSince Aug 16, 2007 Accepting new patients

Locations

3600 Prytania St
Ste 71
New Orleans, LA 70115
Phone (504) 269-3900

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

3600 Prytania St
Ste 65
New Orleans, LA 70115
Phone (504) 899-2376

Organizations & group practices 1

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 5

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1265448617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 MARENGO ST",
            "address_2": "SUITE A",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153813",
            "telephone_number": "504-232-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 MARENGO ST",
            "address_2": "SUITE A",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153813",
            "telephone_number": "504-232-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "FIKRE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD200720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.