Individual provider Active NPI

Jimin Wang, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1316933690
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L7631 Issued in TX
Practice address
9888 Bellaire Blvd
Suite 122
Houston, TX 77036-3429
Phone
(713) 272-6442
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L7631 TX Primary

Addresses

Primary practice location

9888 Bellaire Blvd
Suite 122
Houston, TX 77036-3429

Mailing address

9888 Bellaire Blvd
Suite 122
Houston, TX 77036-3429
Phone (713) 272-6442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100517000822 TX Practitioner - Internal Medicine 8729061817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9888 Bellaire Blvd
Suite 122
Houston, TX 77036-3429
Phone (713) 272-6442

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jimin Wang, MD, PA Internal Medicine CurrentSince Dec 15, 2003 Accepting new patients

Locations

9888 Bellaire Blvd
Ste 122
Houston, TX 77036
Phone (713) 272-6442

Interoperability endpoints

  • Direct secure messaging: jimin.wang@jwmp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HBEICA/Endpoint/HBEICA

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.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1316933690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9888 BELLAIRE BLVD",
            "address_2": "SUITE 122",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363429",
            "telephone_number": "713-272-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 BELLAIRE BLVD",
            "address_2": "SUITE 122",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363429",
            "telephone_number": "713-272-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JIMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.