Individual provider Active NPI

Lily Li-Li Wang, M.D.

  • Neuroradiology Physician
  • Cincinnati, OH
National Provider Identifier
1356648984
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
35.121124 Issued in OH
Practice address
234 Goodman St
Ml0761
Cincinnati, OH 45219-2364
Phone
(513) 584-1513
Fax
(513) 584-9100
NPI assigned
Feb 17, 2011
Last updated
Feb 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 35121124 OH
Diagnostic Radiology Physician 2085R0202X 47246 KY
Neuroradiology Physician 2085N0700X 47246 KY
Pediatric Radiology Physician 2085P0229X 47246 KY
Pediatric Radiology Physician 2085P0229X 35.121124 OH
Diagnostic Radiology Physician 2085R0202X 35.121124 OH
Neuroradiology Physician 2085N0700X 35.121124 OH Primary

Addresses

Primary practice location

234 Goodman St
Ml0761
Cincinnati, OH 45219-2364

Mailing address

PO Box 636256 Central Credentialing
Cincinnati, OH 45263-6256
Phone (513) 245-3107

Other identifiers 2

IdentifierTypeStateIssuer
7100310480MedicaidKY
0096688MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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
I20140404001189 OH Practitioner - Diagnostic Radiology 7911146444 Reassigns benefits to 2 organizations
I20170207003085 KY Practitioner - Diagnostic Radiology 7911146444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2123 Auburn Ave
Cincinnati, OH 45219-2906

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000

68 Cavalier Blvd
Florence, KY 41042-1645
Phone (513) 475-7630

7690 Discovery Dr
West Chester, OH 45069-6542
Phone (513) 475-7425

7700 University Dr
West Chester, OH 45069-2505
Phone (513) 298-7325

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35121124OHMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Medical Center CurrentSince Feb 23, 2014 Accepting new patients
University of Cincinnati Physicians Company, LLC CurrentSince Jun 1, 2014 Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

350 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (513) 569-5200

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

68 Cavalier Blvd
Florence, KY 41042
Phone (513) 475-7630

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

2123 Auburn Ave
Ste 441
Cincinnati, OH 45219
Phone (513) 569-5325

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

3199 Highland Ave
#761
Cincinnati, OH 45219
Phone (513) 584-1513

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

Interoperability endpoints

  • Direct secure messaging: lwang51975@direct.uchealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1356648984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256 CENTRAL CREDENTIALING",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-245-3107",
            "fax_number": "513-585-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST",
            "address_2": "ML0761",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192364",
            "telephone_number": "513-584-1513",
            "fax_number": "513-584-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "LILY",
        "middle_name": "LI-LI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "OH",
            "license": "35121124",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "47246",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "KY",
            "license": "47246",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "KY",
            "license": "47246",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "OH",
            "license": "35.121124",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.121124",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "OH",
            "license": "35.121124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100310480",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096688",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.