Active NPI
Edward Wang, MD
- Internal Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2023008549
- Practice address
- 615 S New Ballas Rd
Saint Louis, MO 63141-8221 - Phone
- (314) 251-6339
- NPI assigned
- Apr 14, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2023008549 | MO | Primary |
Addresses
Primary practice location
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Mailing address
621 S New Ballas Rd Ste 112a
Saint Louis, MO 63141-8252
Phone (314) 251-6339
Other practice location 1
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1328
Other practice location 2
1400 US Highway 61
Festus, MO 63028-4100
Phone (636) 933-5337
Other practice location 3
901 E 5th St
Washington, MO 63090-3127
Phone (636) 239-8231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Saint Louis University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 Woods Mill Rd
Town and Country, MO 63017-0603
Phone (636) 251-4944
15250 Village View Dr
Chesterfield, MO 63017-1982
Phone (636) 733-0199
357 Forest Summit CT
Manchester, MO 63021-5524
Phone (314) 925-0903
505 Couch Ave
Kirkwood, MO 63122-5577
Phone (314) 822-9911
575 Couch Ave
Kirkwood, MO 63122-5536
Phone (314) 909-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Adult Hospitalists - St. Louis, LLC | Internal Medicine | Current | Accepting new patients |
| Generation Clinical Partners LLC | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Pai Participant 1 LLC | Current | Accepting new patients | |
| Mercy Clinic Adult Hospitalists - Washington, LLC | Hospitalist | Current | Accepting new patients |
| St Anthonys Physician Organization Hospitalist Services, L.C. | Hospitalist | Current | Accepting new patients |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Generation Clinical Partners Aco, LLC | Internal Medicine | Current | Accepting new patients |
| Generation Clinical Partners Aco, LLC | Internal Medicine | Current | Accepting new patients |
| Mercy Clinic Adult Hospitalists- Jefferson, LLC | Internal Medicine | Current | Accepting new patients |
| Generation Clinical Partners LLC | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Internal Medicine | Past | Accepting new patients |
Locations
1 Meramec Bluffs Dr
Ballwin, MO 63021
Phone (636) 861-0600
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
10426 Baur Blvd
Saint Louis, MO 63132
Phone (314) 632-6265
505 Couch Ave
Saint Louis, MO 63122
Phone (314) 822-9911
621 S New Ballas Rd
Ste 112A
Saint Louis, MO 63141
Phone (314) 251-6339
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
Interoperability endpoints
- edward.wang.1@9850.direct.athenahealth.com
- https://api.platform.athenahealth.com/9850/brand/1/csg/1/fhir/r4
Organizations & group practices 12
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Saint Louis, MO
- NPI 1104235241
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1093371312
MO
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1841235108
-
- Hospitalist Physician
- Washington, MO
- NPI 1891943429
-
- Internal Medicine Physician
- Festus, MO
- NPI 1083052492
-
- Clinic/Center
- Saint Louis, MO
- NPI 1851431738
-
- Hospitalist Physician
- Saint Louis, MO
- NPI 1407216336
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1740969120
-
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
-
- Internal Medicine Physician
- Waterloo, IL
- NPI 1104674431
-
- Geriatric Medicine (Internal Medicine) Physician
- Glen Carbon, IL
- NPI 1366050007
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Kirkwood, MO
- NPI 1750686531
Nursing home
-
- Community Based Hospice Care Agency
- Saint Louis, MO
- NPI 1891705547
-
- Community Based Hospice Care Agency
- Creve Coeur, MO
- NPI 1881385011
-
- Skilled Nursing Facility
- Chesterfield, MO
- NPI 1386635910
Nursing home
-
- Home Health Agency
- Chesterfield, MO
- NPI 1700347275
-
- Community Based Hospice Care Agency
- Saint Louis, MO
- NPI 1629757935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1386131423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD STE 112A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418252",
"telephone_number": "314-251-6339",
"fax_number": "314-251-4564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "314-251-6339"
}
],
"practiceLocations": [
{
"address_1": "10010 Kennerly Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631282106",
"country_code": "US",
"telephone_number": "314-525-1328",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 US Highway 61",
"address_purpose": "LOCATION",
"city": "Festus",
"state": "MO",
"postal_code": "630284100",
"country_code": "US",
"telephone_number": "636-933-5337",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 E 5th St",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "MO",
"postal_code": "630903127",
"country_code": "US",
"telephone_number": "636-239-8231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-14",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2023008549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.