NPIMap

Organization Active NPI

CHI S Wang MD

  • General Practice Physician
  • Waltham, MA
National Provider Identifier
1295763647
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
51559 Issued in MA
Legal business name
CHI S WANG MD
Practice address
20 Hope Ave
Suite 208
Waltham, MA 02453
Phone
(781) 891-1230
Fax
(781) 893-7138
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
CHI Shiang Wang, MDNPI 1518936772
Title
MD & Owner of Practice
Phone
(978) 453-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KA0200X 34072 MA
Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KA0200X 36270 MA
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 34072 MA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 34072 MA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 53478 MA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 51559 MA Primary

Addresses

Primary practice location

20 Hope Ave
Suite 208
Waltham, MA 02453

Mailing address

133 Market St
Lowell, MA 01852
Phone (978) 453-1300

Other identifiers 2

IdentifierTypeStateIssuer
M15313OtherBC
9764704MedicaidMA

National Provider Directory

National Provider Directory

Locations

20 Hope Ave
Ste 208
Waltham, MA 02453
Phone (781) 891-1230

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1295763647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 MARKET ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01852",
            "telephone_number": "978-453-1300",
            "fax_number": "978-441-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOPE AVE",
            "address_2": "SUITE 208",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02453",
            "telephone_number": "781-891-1230",
            "fax_number": "781-893-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHI S WANG MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHI",
        "authorized_official_middle_name": "SHIANG",
        "authorized_official_title_or_position": "MD & OWNER OF PRACTICE",
        "authorized_official_telephone_number": "978-453-1300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MA",
            "license": "34072",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MA",
            "license": "36270",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "34072",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MA",
            "license": "34072",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MA",
            "license": "53478",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MA",
            "license": "51559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "M15313",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9764704",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.