Organization Active NPI

Wentian Huang, MD, PHD, P.C.

  • Internal Medicine Physician
  • Garland, TX
National Provider Identifier
1326237868
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M1153 Issued in TX
Legal business name
WENTIAN HUANG, MD, PHD, P.C.
Practice address
3475 Collins Blvd
Garland, TX 75044-3621
Phone
(972) 530-5550
Fax
(972) 530-3632
NPI assigned
Oct 22, 2007
Last updated
May 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Wentian HuangNPI 1700863560
Title
MD, PHD.
Phone
(972) 530-5550

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X M1153 TX
Internal Medicine Physician 207R00000X M1153 TX Primary

Addresses

Primary practice location

3475 Collins Blvd
Garland, TX 75044-3621

Mailing address

3475 Collins Blvd
Garland, TX 75044-3621
Phone (972) 530-5550

Other identifiers 3

IdentifierTypeStateIssuer
8W7364OtherTXBCBS
180748902MedicaidTX
P00336515OtherTXRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080804000387 TX Part B Supplier - Clinic/Group Practice 6608957535 Receives reassigned benefits from 1 practitioner
Practice locations: Garland, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1098047Wentian Huang, MD, PHD, PC3475 Collins Blvd, Garland, TX 75044Certificate of waiverApr 8, 2027

National Provider Directory

National Provider Directory

Locations

3475 Collins Blvd
Garland, TX 75044
Phone (972) 530-3632

3475 Collins Blvd
#103
Garland, TX 75044

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1326237868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 COLLINS BLVD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750443621",
            "telephone_number": "972-530-5550",
            "fax_number": "972-530-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 COLLINS BLVD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750443621",
            "telephone_number": "972-530-5550",
            "fax_number": "972-530-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENTIAN HUANG, MD, PHD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "WENTIAN",
        "authorized_official_title_or_position": "MD, PHD.",
        "authorized_official_telephone_number": "972-530-5550"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "M1153",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M1153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8W7364",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180748902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00336515",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.