Individual provider Active NPI

Weitao Wang

  • Otolaryngology Physician
  • Rochester, NY
National Provider Identifier
1376960773
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
R9164 Issued in TX
Practice address
601 Elmwood Ave Box 629
Rochester, NY 14642-8629
Phone
(585) 276-5181
Fax
(585) 271-8552
NPI assigned
Mar 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 305681 NY
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology Physician 207Y00000X R9164 TX Primary

Addresses

Primary practice location

601 Elmwood Ave Box 629
Rochester, NY 14642-8629

Mailing address

601 Elmwood Ave Box 629
Rochester, NY 14642-8629

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address wwang94461@direct.urmc.rochester.edu Direct
Direct Messaging Address wwang94461@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20200811001991 NY Practitioner - Otolaryngology 0648529750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Virginia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Otolaryngology AssociatesGroup PAC ID 2860395795, 36 clinicians

Practice addresses (Care Compare)

2300 W Jefferson Rd FL 1 - Southeast
Pittsford, NY 14534-1090
Phone (585) 758-5700

2365 S Clinton Ave
Suite 200
Rochester, NY 14618-2663
Phone (585) 758-5700

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 276-4480

601 Elmwood Ave Box
Rochester, NY 14642-0001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.27 of 100Reported as group
Quality
63.55
Promoting interoperability
99
Improvement activities
40
Cost
74.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision30
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305681NYMDOtolaryngology Physician
R9164TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Otolaryngology Associates Otolaryngology CurrentSince Sep 1, 2020 Accepting new patients
University of Rochester Past Accepting new patients

Locations

2300 W Jefferson Rd
Fl 1
Pittsford, NY 14534

601 Elmwood Ave
#629
Rochester, NY 14642
Phone (585) 276-5181

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

2365 S Clinton Ave
Ste 203
Rochester, NY 14618

2365 S Clinton Ave
Ste 200
Rochester, NY 14618
Phone (585) 275-0142

Interoperability endpoints

  • Direct secure messaging: wwang94461@direct.urmc.rochester.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1376960773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 629",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146428629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 629",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146428629",
            "telephone_number": "585-276-5181",
            "fax_number": "585-271-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "WEITAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-24",
        "last_updated": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "305681",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "R9164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wwang94461@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wwang94461@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.