Individual provider Active NPI

Li Wang, M.D.

  • Gastroenterology Physician
  • East Providence, RI
National Provider Identifier
1477915478
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD18426 Issued in RI
Practice address
950 Warren Ave Ste 302
East Providence, RI 02914-1432
Phone
(401) 444-2701
Fax
(401) 444-2740
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD18426 RI Primary
Internal Medicine Physician 207R00000X MD18426 RI

Addresses

Primary practice location

950 Warren Ave Ste 302
East Providence, RI 02914-1432

Mailing address

110 Elm St
Providence, RI 02903-4626
Phone (401) 443-4992

Other practice location 1

375 Wampanoag Trl
Riverside, RI 02915-2232
Phone (401) 649-4030

Other practice location 2

58 Amaral St
Riverside, RI 02915-2205
Phone (401) 606-4260

Other practice location 3

62 Amaral St
Riverside, RI 02915-2205
Phone (401) 606-4260

Other practice location 4

245 Chapman St Ste 300
Providence, RI 02905-4539
Phone (401) 444-5280

Other practice location 5

146 W River St Ste 11D
Providence, RI 02904-2609
Phone (401) 793-5700

Other practice location 6

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

Other practice location 7

234 Goodman St
Cincinnati, OH 45219-2364
Phone (513) 558-5588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20220907002218 RI Practitioner - GastroenterologyPractitioner - Internal Medicine 8921391848 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Rochester School of Medicine and Dentistry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rhode Island HospitalGroup PAC ID 8921900044, 430 clinicians
Brown MedicineGroup PAC ID 0446159776, 220 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

245 Chapman St
Suite 300
Providence, RI 02905-4539
Phone (401) 444-5280

375 Wampanoag TRL
Riverside, RI 02915-2232
Phone (401) 649-4010

58 Amaral St
Riverside, RI 02915-2205
Phone (401) 606-4260

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy38
Upper gastrointestinal (GI) endoscopy for acid reflux54

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Medicine Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Rhode Island Hospital CurrentSince Sep 1, 2022 Accepting new patients
Brown Medicine Gastroenterology CurrentSince Aug 1, 2022 Accepting new patients
Rhode Island Hospital CurrentSince Sep 1, 2022 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients
Rhode Island Hospital Past Accepting new patients

Locations

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

950 Warren Ave
Ste 302
East Providence, RI 02914
Phone (401) 444-2701

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

110 Elm St
Providence, RI 02903
Phone (401) 443-4992

245 Chapman St
Ste 300
Providence, RI 02905
Phone (401) 444-4741

593 Eddy St
Providence, RI 02903

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

146 W River St
Ste 11D
Providence, RI 02904
Phone (401) 606-3000

375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010

58 Amaral St
Riverside, RI 02915
Phone (401) 606-4260

62 Amaral St
Riverside, RI 02915
Phone (401) 649-4030

Organizations & group practices 8

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 5

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1477915478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ELM ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034626",
            "telephone_number": "401-443-4992",
            "fax_number": "401-537-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WARREN AVE STE 302",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141432",
            "telephone_number": "401-444-2701",
            "fax_number": "401-444-2740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Wampanoag Trl",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029152232",
            "country_code": "US",
            "telephone_number": "401-649-4030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58 Amaral St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029152205",
            "country_code": "US",
            "telephone_number": "401-606-4260",
            "fax_number": "401-606-4261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 Amaral St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029152205",
            "country_code": "US",
            "telephone_number": "401-606-4260",
            "fax_number": "401-606-4261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Chapman St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029054539",
            "country_code": "US",
            "telephone_number": "401-444-5280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "146 W River St Ste 11D",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029042609",
            "country_code": "US",
            "telephone_number": "401-793-5700",
            "fax_number": "401-793-7801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-334-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "234 Goodman St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192364",
            "country_code": "US",
            "telephone_number": "513-558-5588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "LI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "RI",
            "license": "MD18426",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD18426",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.