Individual provider Active NPI

Michael Y Wang, MD

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1306847447
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200401150 Issued in NC
Practice address
1009 Crosspointe Dr Ste 2
Naples, FL 34110-0948
Phone
(239) 963-1060
Fax
(239) 963-1059
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200401150 NC Primary

Addresses

Primary practice location

1009 Crosspointe Dr Ste 2
Naples, FL 34110-0948

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other identifiers 3

IdentifierTypeStateIssuer
89138M3MedicaidNC
92219OtherFLBLUE SHIELD
138M3OtherNCBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070425000478 FL Practitioner - Family Practice 5991765554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
The Moorings IncorporatedGroup PAC ID 4688832066, shared by 2 NPIs, 116 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

1009 Crosspointe Dr
Suite 2
Naples, FL 34110-0948
Phone (239) 302-3295

120 Moorings Park Dr
Naples, FL 34105-2122

12995 S Cleveland Ave
Suite 184
Fort Myers, FL 33907-7703
Phone (239) 939-2201

130 Moorings Park Dr
Naples, FL 34105-2122

13691 Metro Pkwy
Fort Myers, FL 33912-4322

13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343

1735 SW Health Pkwy
Suite 201
Naples, FL 34109-0421
Phone (239) 249-7800

1855 Veterans Park Dr
Suite 101
Naples, FL 34109-0446
Phone (239) 963-1060

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

2350 Vanderbilt Beach Rd
Suite 201
Naples, FL 34109-2760
Phone (239) 592-5864

2675 Winkler Ave
Fort Myers, FL 33901-9328

2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328

3369 Pine Ridge Rd
Unit 203
Naples, FL 34109-3932
Phone (239) 631-2662

3411 S Dale Mabry Hwy
Tampa, FL 33629-8658
Phone (813) 742-9501

3434 Hancock Bridge Pkwy
Suite 301
North Fort Myers, FL 33903-7099
Phone (877) 856-3774

400 8TH St N
Naples, FL 34102-5519
Phone (239) 261-5511

606 Bald Eagle Dr
Suite 302
Marco Island, FL 34145-2766
Phone (239) 393-2220

6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 649-3312

6376 Pine Ridge Rd
Suite 440
Naples, FL 34119-3905
Phone (239) 307-6972

6610 Willow Park Dr
Suite 101
Naples, FL 34109-9014
Phone (239) 649-3307

800 Goodlette N Rd
Suite 200
Naples, FL 34102-5408
Phone (239) 719-3362

800 Goodlette Rd
Suite 205
Naples, FL 34102-5408
Phone (239) 315-7538

Hospital & facility affiliations

  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
  • Americare Home Health Services, LLC Home health agency, Naples, FL, CCN 108172
  • Millennium Home Care LLC Home health agency, Port Charlotte, FL, CCN 109401
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200401150NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC Family Medicine CurrentSince Aug 1, 2009 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince Aug 1, 2009 Accepting new patients
Anchor Health Centers PA Family Medicine Past Accepting new patients

Locations

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

1735 SW Health Pkwy
Ste 201
Naples, FL 34109
Phone (239) 249-7800

1009 Crosspointe Dr
Ste 2
Naples, FL 34110
Phone (239) 592-0373

8803 Tamiami Trl E
Naples, FL 34113
Phone (239) 272-0838

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

2450 Tamiami Trl
Ste A
Pt Charlotte, FL 33952
Phone (941) 235-3447

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: michael.wang.1@4290.direct.athenahealth.com

Organizations & group practices 3

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 6

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1306847447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774",
            "fax_number": "239-599-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 CROSSPOINTE DR STE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341100948",
            "telephone_number": "239-963-1060",
            "fax_number": "239-963-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "MICHAEL",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200401150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89138M3",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "92219",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "138M3",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.