Active NPI
Jingxin Wang, MD
- Neurocritical Care Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurocritical Care Physician
- License
- 88355
- Practice address
- 200 Patewood Dr Ste B350
Greenville, SC 29615-6337 - Phone
- (864) 454-4500
- Fax
- (864) 454-4505
- NPI assigned
- Mar 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurocritical Care Physician | 2084A2900X | 71175 | CT | |
| Neurocritical Care Physician | 2084A2900X | 88355 | SC | Primary |
| Neurocritical Care Physician | 2084A2900X | 303280 | NY | |
| Neurocritical Care Physician | 2084A2900X | MC-1554 | ID | |
| Neurology Physician | 2084N0400X | A184314 | CA |
Addresses
Primary practice location
200 Patewood Dr Ste B350
Greenville, SC 29615-6337
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
9850 W St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 505-2050
Other practice location 2
1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3000
Other practice location 3
100 Nicolls Rd Rm 80
Stony Brook, NY 11794-8122
Phone (631) 444-1116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY, OR, ID, CO, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Lauterbur Dr
Stony Brook Cancer Center
Stony Brook, NY 11794-0001
Phone (631) 444-1213
100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5121
100 Nicolls Rd
Stony Brook, NY 11794-8122
Phone (631) 444-1213
101 Nicolls Rd
Stony Brook, NY 11794-8122
Phone (631) 444-1213
2825 E Barnett Rd
Medford, OR 97504-8332
Phone (541) 789-7000
30 Eagle Chase
Woodbury, NY 11797-2911
Phone (385) 286-4862
435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 694-8200
5600 S Quebec St
Suite 312a
Greenwood Village, CO 80111-2208
Phone (303) 343-6272
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
- Midstate Medical Center
- Shasta Regional Medical Center
- Centinela Hospital Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71175 | CT | MD | Neurocritical Care Physician |
| MC-1554 | ID | MD | Neurocritical Care Physician |
Practice roles
Locations
5600 S Quebec St
Ste 312A
Greenwood Village, CO 80111
Phone (303) 343-6272
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
9850 W St Lukes Dr
Nampa, ID 83687
Phone (208) 205-7282
100 Nicolls Rd
Rm 80
Stony Brook, NY 11794
Phone (631) 444-3429
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004
2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- jingxin.wang@xdr.hhchealthdirect.org
Organizations & group practices 16
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.
-
- Family Medicine Physician
- Medford, OR
- NPI 1922381326
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1154425288
-
- Neurological Surgery Physician
- Stony Brook, NY
- NPI 1154376309
-
- Hospitalist Physician
- New Britain, CT
- NPI 1063461481
-
- Neurology with Special Qualifications in Child Neurology Physician
- Greenwood Village, CO
- NPI 1649886458
NY
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
Neurology, NY
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- Psychiatric Hospital Unit
- Meriden, CT
- NPI 1316022718
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1427007848
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1669524187
-
- General Acute Care Hospital
- Inglewood, CA
- NPI 1336328244
-
- General Acute Care Hospital
- Redding, CA
- NPI 1205089026
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1336501741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PATEWOOD DR STE B350",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296156337",
"telephone_number": "864-454-4500",
"fax_number": "864-454-4505"
}
],
"practiceLocations": [
{
"address_1": "9850 W St Lukes Dr",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836877912",
"country_code": "US",
"telephone_number": "208-505-2050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1303 E Herndon Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937203309",
"country_code": "US",
"telephone_number": "559-450-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Nicolls Rd Rm 80",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "117948122",
"country_code": "US",
"telephone_number": "631-444-1116",
"fax_number": "631-444-1535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "JINGXIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-24",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "CT",
"license": "71175",
"primary": false
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "SC",
"license": "88355",
"primary": true
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "NY",
"license": "303280",
"primary": false
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "ID",
"license": "MC-1554",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A184314",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.