Fred T. Wang, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

C1-0008270 Issued in DE

Practice address

12 Harvest LN
Hockessin, DE 19707-2080

Phone

(952) 595-1100

Fax

(612) 294-4903

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Frederick T Wang Other name

Medicare fee-for-service enrollment

Enrolled in PA, DE2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Jefferson Medical College of Thomas Jefferson University, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Diagnostic Imaging PCGroup PAC ID 1153233283, 91 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
• Mercy Catholic Medical Center- Mercy Fitzgerald Hospital, Darby, PA, CCN 390156
• Nazareth Hospital Hospital, Philadelphia, PA, CCN 390204
• St Francis Hospital Hospital, Wilmington, DE, CCN 080003
• Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fwang3404349@direct.trinity-health.org

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.

• Mercy Diagnostic Imaging PC

  • Diagnostic Radiology Physician
  • Darby, PA
  • NPI 1477509768

  DE

  Medicare reassignment Care Compare group NPD
• Ellis Bandt Birkin Kollins & Wong PLLC

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1578584678

  DE

  Medicare reassignment NPD
• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545

  DE

  Medicare reassignment NPD
• Pottstown Clinic Company LLC

  • Family Medicine Physician
  • Pottstown, PA
  • NPI 1649341934

  Diagnostic Radiology

  Medicare reassignment NPD
• Shelin Agrawal and Hyer PLLC

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1861783961

  DE

  Medicare reassignment NPD
• Southeast Radiology LTD

  • Diagnostic Radiology Physician
  • Chester, PA
  • NPI 1790779684
  Medicare reassignment NPD
• Delaware Radiology Associates PA

  • Diagnostic Radiology Physician
  • Newark, DE
  • NPI 1740706175
  NPD (past)
• Imaging Group of Delaware, PA

  • Diagnostic Radiology Physician
  • Wilmington, DE
  • NPI 1164421574
  NPD (past)
• Koniver Fiss Mansoory MD PA

  • Diagnostic Radiology Physician
  • Wilmington, DE
  • NPI 1083615561
  NPD (past)
• Chambersburg Imaging Associates P.C.

  • Specialist
  • Chambersburg, PA
  • NPI 1225093446
  NPD (past)
• Jerjis T Alajaji

  • Diagnostic Radiology Physician
  • Bainbridge, GA
  • NPI 1295903755
  NPD (past)
• Radiology Affiliates of Central New Jersey PC

  • Diagnostic Radiology Physician
  • Hamilton, NJ
  • NPI 1811994791
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Francis Hospital Inc.

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1295738896
  Care Compare affiliation
• Hospital of the University of PA

  • Ambulatory Fertility Facility
  • Phila, PA
  • NPI 1033262316

  Hospital

  Care Compare affiliation
• St Mary Medical Center

  • General Acute Care Hospital
  • Langhorne, PA
  • NPI 1780686931
  Care Compare affiliation
• Trustees of the University of Pennsylvania

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1851370910
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1306958368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HARVEST LN",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197072080",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "FRED",
        "middle_name": "T.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA10038800",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0008270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDERICK",
            "last_name": "WANG",
            "middle_name": "T",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Walgreen Co
• Walgreen Co.
• Walgreens
• Walgreens
• John Paul Walker, PH.D.
• Sara Warren, DPT
• Caitlin Washington
• Latoya Watson
• Webster Dermatology PA
• Cynthia Webster, MD

• Diagnostic Radiology Physician in Hockessin, DE
• Providers in Hockessin, DE by specialty
• Diagnostic Radiology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.

Verify at the official NPI Registry.