NPIMap

Individual provider Active NPI

Benny Shangpin Wang, MD

  • Neurology Physician
  • Conroe, TX
National Provider Identifier
1447348164
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
L5947 Issued in TX
Practice address
1020 Riverwood CT Ste 310
Conroe, TX 77304-2974
Phone
(832) 510-6553
Fax
(866) 936-7076
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X L5947 TX Primary

Addresses

Primary practice location

1020 Riverwood CT Ste 310
Conroe, TX 77304-2974

Mailing address

1020 Riverwood CT Ste 310
Conroe, TX 77304-2974
Phone (832) 510-6553

Other identifiers 1

IdentifierTypeStateIssuer
158692701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109001149 TX Practitioner - Neurology 8921193772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Southwestern Medical School at Dallas, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1020 Riverwood CT
Suite 310
Conroe, TX 77304-2974
Phone (832) 510-6553

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.5 of 100Reported as individual
Quality
85
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Electrodiagnostics PLLC Neurology CurrentSince Jun 13, 2010 Accepting new patients
Physicians Ancillary Services LLC PastSince Apr 1, 2015 Accepting new patients
Sadler Clinic Association Past Accepting new patients

Locations

1020 Riverwood Ct
Ste 310
Conroe, TX 77304
Phone (832) 510-6553

17191 St Lukes Way
Ste 200
The Woodlands, TX 77384
Phone (936) 271-2555

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCGADA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JCGADA/Endpoint/JCGADA

Organizations & group practices 3

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 12

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1447348164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 RIVERWOOD CT STE 310",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042974",
            "telephone_number": "832-510-6553",
            "fax_number": "866-936-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 RIVERWOOD CT STE 310",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042974",
            "telephone_number": "832-510-6553",
            "fax_number": "866-936-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "BENNY",
        "middle_name": "SHANGPIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L5947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158692701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.