Individual provider Active NPI

Joseph L Wang, M.D.

  • Gastroenterology Physician
  • Jefferson City, MO
National Provider Identifier
1437118718
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
105279 Issued in MO
Practice address
1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Phone
(573) 635-5264
Fax
(573) 556-1719
NPI assigned
Mar 23, 2006
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 105279 MO
Gastroenterology Physician 207RG0100X MD-26081 HI
Gastroenterology Physician 207RG0100X 105279 MO Primary

Addresses

Primary practice location

1241 W Stadium Blvd
Jefferson City, MO 65109-6023

Mailing address

1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Phone (573) 635-5264

Other practice location 1

3901 S Fremont Ave Fl 4
Springfield, MO 65804-6538
Phone (000) 000-0000

Other identifiers 6

IdentifierTypeStateIssuer
0288557OtherMOHEALTHLINK
1000009318OtherMORAILROAD MEDICARE
101132OtherMOBCBS
CP9089OtherMORAILROAD GROUP
208254508MedicaidMO
55163OtherMOGHP

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, HI2 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
I20080903000639 MO Practitioner - GastroenterologyPractitioner - Internal Medicine 9830265545 Reassigns benefits to 4 organizations
I20251105004494 HI Practitioner - Gastroenterology 9830265545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Northwestern University Feinberg Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians
Hilo Benioff Medical CenterGroup PAC ID 1254422900, 131 clinicians
Kau HospitalGroup PAC ID 7416945548, 138 clinicians
Jefferson City Medical Group PCGroup PAC ID 1850371089, 117 clinicians
SSM Regional Health ServicesGroup PAC ID 8921917352, 165 clinicians

Practice addresses (Care Compare)

1001 E Primrose St
Springfield, MO 65807-5155

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000

1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Phone (573) 556-5771

2505 Mission Dr
Suite 130
Jefferson City, MO 65109-9508
Phone (573) 681-3585

3800 S National Ave
Suite 400
Springfield, MO 65807-5272
Phone (417) 875-3000

3801 S National
Suite 900
Springfield, MO 65807-5210
Phone (417) 875-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy151
Upper gastrointestinal (GI) endoscopy for acid reflux236

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-26081HIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Aug 15, 2025 Accepting new patients
Kau Hospital Current Accepting new patients
Lester E Cox Medical Centers Gastroenterology CurrentSince Aug 15, 2025 Accepting new patients
Jefferson City Medical Group, P.C. Current Accepting new patients
The Curators of the University of Missouri CurrentSince Apr 3, 2024 Accepting new patients
Hilo Benioff Medical Center CurrentSince Oct 21, 2025 Accepting new patients
Kau Hospital CurrentSince Oct 21, 2025 Accepting new patients
Jefferson City Medical Group, P.C. Current Accepting new patients
Curators of the University of Missouri CurrentSince Apr 3, 2024 Accepting new patients
SSM Regional Health Services Current Accepting new patients
Lester E Cox Medical Centers Current Accepting new patients
Jefferson City Medical Group, P.C. Current Accepting new patients
SSM Regional Health Services CurrentSince Aug 1, 2025 Accepting new patients
Hilo Benioff Medical Center CurrentSince Oct 21, 2025 Accepting new patients
SSM Regional Health Services CurrentSince Aug 1, 2025 Accepting new patients
Kau Hospital CurrentSince Oct 21, 2025 Accepting new patients
SSM Regional Health Services Past Accepting new patients
Jefferson City Medical Group, P.C. Past Accepting new patients
Hilo Benioff Medical Center Past Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

7655 Solutions Ctr
Chicago, IL 60677

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

101 S Fairview Rd
Columbia, MO 65203
Phone (573) 882-1095

100 Saint Marys Plz
Jefferson Cty, MO 65101
Phone (573) 635-7642

1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000

1241 W Stadium Blvd
Jefferson Cty, MO 65109
Phone (573) 556-5771

1241 W Stadium Blvd
Fl 2
Jefferson Cty, MO 65109
Phone (573) 556-7704

1241 W Stadium Blvd
Ste 2200
Jefferson Cty, MO 65109
Phone (573) 556-5747

1000 E Primrose St
Ste 360
Springfield, MO 65807
Phone (417) 269-4037

3800 S National Ave
Ste 400
Springfield, MO 65807
Phone (417) 269-9842

3901 S Fremont Ave
Fl 4
Springfield, MO 65804
Phone (417) 875-3250

901 Kidwell Dr
Versailles, MO 65084
Phone (573) 378-4666

40 Sunset Ridge Rd
Ste 120
New Paltz, NY 12561

Interoperability endpoints

  • Direct secure messaging: joseph.wang@jcmg.eclinicaldirectplus.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 7

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1437118718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 W STADIUM BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096023",
            "telephone_number": "573-635-5264",
            "fax_number": "573-556-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 W STADIUM BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096023",
            "telephone_number": "573-635-5264",
            "fax_number": "573-556-1719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 S Fremont Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658046538",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "JOSEPH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "105279",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "HI",
            "license": "MD-26081",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "105279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "0288557",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1000009318",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "101132",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP",
            "identifier": "CP9089",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208254508",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "55163",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.1",
            "affiliationName": "Bluemark LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "40 Sunset Ridge Rd Ste 120",
            "city": "New Paltz",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125611039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.