Individual provider Active NPI

Min Wang, M.D. PHD

  • Psychiatry Physician
  • Downers Grove, IL
National Provider Identifier
1386887701
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME150087 Issued in FL
Practice address
1431 Opus PL Ste 110
Downers Grove, IL 60515-1164
Phone
(888) 279-0002
Fax
(773) 989-2781
NPI assigned
Apr 15, 2009
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME150087 FL Primary
Psychiatry Physician 2084P0800X 036131692 IL
Hospitalist Physician 208M00000X ME150087 FL

Addresses

Primary practice location

1431 Opus PL Ste 110
Downers Grove, IL 60515-1164

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-3064

Other practice location 1

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 343-3064

Other identifiers 1

IdentifierTypeStateIssuer
128910100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwang697164@Direct.leememorial.org Direct LEE HEALTH SYSTEM INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, PA, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130814000421 IL Practitioner - PsychiatryPractitioner - General SurgeryPractitioner - Internal Medicine 4880830546 Reassigns benefits to 1 organization
Practice locations: Chicago, IL
I20241203002489 PA Practitioner - Psychiatry 4880830546 Reassigns benefits to 2 organizations
I20251121000093 FL Practitioner - PsychiatryPractitioner - Hospitalist 4880830546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Heritage Medical Group IncGroup PAC ID 7517284029, 62 clinicians
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

2200 Good Hope Rd
Enola, PA 17025-1210
Phone (818) 518-9715

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 343-2000

500 W Court St
Kankakee, IL 60901-3661
Phone (818) 518-9715

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME150087FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc Current Accepting new patients
Pacific Heritage Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Oct 7, 2024 Accepting new patients
Lee Health System Inc CurrentSince Nov 1, 2025 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Oct 7, 2024 Accepting new patients
Lee Health System Inc CurrentSince Nov 1, 2025 Accepting new patients
Island Behavioral Health PLLC Psychiatry CurrentSince Aug 3, 2025 Accepting new patients
North Port BH, LLC PastSince Mar 1, 2025 Accepting new patients

Locations

2393 Townsgate Rd
Ste 104
Westlake Village, CA 91361
Phone (805) 601-5199

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2200 Good Hope Rd
Enola, PA 17025
Phone (717) 981-9000

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mwang697164@direct.leememorial.org
  • Direct secure messaging: mwang@direct-address.org

Organizations & group practices 9

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": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1386887701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-3064",
            "fax_number": "239-343-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 OPUS PL STE 110",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151164",
            "telephone_number": "888-279-0002",
            "fax_number": "773-989-2781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2776 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339015864",
            "country_code": "US",
            "telephone_number": "239-343-3064",
            "fax_number": "239-343-9193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "MIN",
        "name_prefix": "Dr.",
        "credential": "M.D. PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-15",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME150087",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036131692",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME150087",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128910100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwang697164@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "LEE HEALTH SYSTEM INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.