Individual provider Active NPI

Xiaolin Wang, M.D.

  • Anesthesiology Physician
  • San Jose, CA
National Provider Identifier
1326036260
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036106091 Issued in IL
Practice address
2105 Forest Ave
San Jose, CA 95128-1471
Phone
(408) 947-2500
Fax
(408) 995-0117
NPI assigned
Oct 13, 2005
Last updated
Oct 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036106091 IL Primary
Anesthesiology Physician 207L00000X C184184 CA

Addresses

Primary practice location

2105 Forest Ave
San Jose, CA 95128-1471

Mailing address

800 East Carpenter Street
Room 2K64
Springfield, IL 62769-0001
Phone (217) 525-5643

Other practice location 1

1425 N Randall Rd
Elgin, IL 60123-2300
Phone (847) 742-9800

Other practice location 2

800 East Carpenter Street
Room 2K64
Springfield, IL 62769-0001
Phone (217) 525-5643

Other practice location 3

10400 Haligus Rd
Huntley, IL 60142-9553
Phone (224) 654-0000

Other identifiers 1

IdentifierTypeStateIssuer
036106091001MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address xwang326328@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 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

Enrollment IDStateProvider typePAC IDDetails
I20040928000928 IL Practitioner - Anesthesiology 9638148570 Reassigns benefits to 10 organizations
I20230802002515 CA Practitioner - Anesthesiology 9638148570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ias Illinois PCGroup PAC ID 9638530991, 79 clinicians
Loyola University Medical CenterGroup PAC ID 3779488903, 917 clinicians
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians

Practice addresses (Care Compare)

1425 N Randall Rd
Elgin, IL 60123-2300
Phone (847) 742-9800

150 W High St
Morris, IL 60450-1463
Phone (815) 942-2932

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-8372

2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-3311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C184184CAMDAnesthesiology Physician
036106091ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Anesthesiologists, SC Anesthesiology CurrentSince Jun 26, 2023 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jul 31, 2023 Accepting new patients
Loyola University Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Loyola University Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jun 1, 2023 Accepting new patients
Associated Anesthesiologists, S.C. Anesthesiology CurrentSince Jun 26, 2023 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Apr 15, 2022 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC Anesthesiology CurrentSince Sep 20, 2020 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jun 1, 2023 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Apr 15, 2022 Accepting new patients
Jacksonville Crnas Inc Anesthesiology CurrentSince Oct 1, 2013 Accepting new patients
American Anesthesiology Associates of Illinois, S.C. Anesthesiology CurrentSince Nov 12, 2021 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jul 31, 2023 Accepting new patients
Cep America - Anesthesia PC Anesthesiology Past Accepting new patients

Locations (25 of 27)

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

2200 E Washington St
Bloomington, IL 61701
Phone (309) 661-5111

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701

29373 Network Pl
Chicago, IL 60673

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500

530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

2020 W Iles Ave
Springfield, IL 62704
Phone (217) 698-3030

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

800 E Carpenter St
#2334
Springfield, IL 62769
Phone (217) 525-5643

800 E Carpenter St
Rm 2334
Springfield, IL 62769
Phone (217) 525-5643

800 E Carpenter St
Rm 2K64
Springfield, IL 62769
Phone (217) 525-5643

Interoperability endpoints

  • Direct secure messaging: xwang326328@direct.myadvocateaurora.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 7

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1326036260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 EAST CARPENTER STREET",
            "address_2": "ROOM 2K64",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627690001",
            "telephone_number": "217-525-5643",
            "fax_number": "217-544-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 FOREST AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281471",
            "telephone_number": "408-947-2500",
            "fax_number": "408-995-0117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 N Randall Rd",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601232300",
            "country_code": "US",
            "telephone_number": "847-742-9800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 East Carpenter Street",
            "address_2": "Room 2K64",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627690001",
            "country_code": "US",
            "telephone_number": "217-525-5643",
            "fax_number": "217-544-2521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10400 Haligus Rd",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601429553",
            "country_code": "US",
            "telephone_number": "224-654-0000",
            "fax_number": "224-654-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "XIAOLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036106091",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C184184",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036106091001",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "xwang326328@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1425 N Randall Rd",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601232300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1425 N Randall Rd",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601232300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.