Individual provider Active NPI

David Marcus Wang, MD

  • MOHS-Micrographic Surgery Physician
  • Seattle, WA
National Provider Identifier
1265936405
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD61669770 Issued in WA
Practice address
1229 Madison St Ste 1090
Seattle, WA 98104-3559
Phone
(206) 860-5571
Fax
(206) 860-2219
NPI assigned
Mar 21, 2018
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X MD61669770 WA Primary
MOHS-Micrographic Surgery Physician 207ND0101X 291528 MA

Addresses

Primary practice location

1229 Madison St Ste 1090
Seattle, WA 98104-3559

Mailing address

7600 Evergreen Way
Everett, WA 98203-6421
Phone (206) 860-5414

Other practice location 1

904 7th Ave
Seattle, WA 98104-1132
Phone (206) 860-5571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20250804003724 WA Practitioner - Dermatology 8022364199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Polyclinic PLLCGroup PAC ID 2163328196, 364 clinicians

Practice addresses (Care Compare)

904 7TH Ave
Seattle, WA 98104-1132
Phone (206) 309-1760

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision31
Removal of skin lesions11
Removal of skin cancer250
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61669770WAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc Multi-Specialty CurrentSince May 9, 2022 Accepting new patients
The Polyclinic PLLC Multi-Specialty CurrentSince Jul 21, 2025 Accepting new patients
Optum Care Washington PLLC Multi-Specialty CurrentSince Jul 21, 2025 Accepting new patients
Optum Care Washington PLLC CurrentSince Jul 21, 2025 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Optum Care Washington PLLC Multi-Specialty Current Accepting new patients
The Polyclinic PLLC Multi-Specialty CurrentSince Jul 21, 2025 Accepting new patients
Dana-Farber Cancer Institute, Inc. Multi-Specialty CurrentSince Jan 1, 2024 Accepting new patients
The Polyclinic PLLC Multi-Specialty Past Accepting new patients
University of North Carolina at Chapel Hill Multi-Specialty PastSince Apr 1, 2022 Accepting new patients

Locations

221 Longwood Ave
Boston, MA 02115
Phone (617) 732-4918

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

75 Francis St
Boston, MA 02115

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

1153 Centre St
Ste 4J
Jamaica Plain, MA 02130
Phone (617) 983-4626

254 2nd Ave
Ste 100
Needham Heights, MA 02494
Phone (781) 416-8413

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

125 130th St SE
Everett, WA 98208
Phone (425) 341-4800

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

1145 Broadway
Seattle, WA 98122

1229 Madison St
Ste 1090
Seattle, WA 98104
Phone (206) 215-3300

904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

1812 S J St
Ste 102
Tacoma, WA 98405
Phone (253) 552-4900

Interoperability endpoints

  • Direct secure messaging: dwang98674@direct.tecmc.com

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1265936405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 EVERGREEN WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982036421",
            "telephone_number": "206-860-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST STE 1090",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043559",
            "telephone_number": "206-860-5571",
            "fax_number": "206-860-2219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "904 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981041132",
            "country_code": "US",
            "telephone_number": "206-860-5571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "DAVID",
        "middle_name": "MARCUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "MD61669770",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MA",
            "license": "291528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.