Individual provider Active NPI

Jordan Wang, MD

  • Physical Medicine & Rehabilitation Physician
  • Honolulu, HI
National Provider Identifier
1487159737
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD-22029 Issued in HI
Practice address
226 N Kuakini St
Honolulu, HI 96817-2488
Phone
(808) 531-3511
NPI assigned
Mar 28, 2018
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD-22029 HI Primary

Addresses

Primary practice location

226 N Kuakini St
Honolulu, HI 96817-2488

Mailing address

2855 E Manoa Rd Ste 105
Honolulu, HI 96822-1854
Phone (808) 387-1565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20220819002970 HI Practitioner - Physical Medicine and Rehabilitation 2961885116 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Hawaii John a. Burns School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehab Associates of the Pacific LLCGroup PAC ID 6608190822, 9 clinicians
Mi-Health LLCGroup PAC ID 0143605030, 31 clinicians

Practice addresses (Care Compare)

226 N Kuakini St
Honolulu, HI 96817-2488
Phone (808) 531-3511

770 Kapiolani Blvd
Suite 500
Honolulu, HI 96813-5258
Phone (808) 666-9960

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Associates of the Pacific LLC Physical Medicine & Rehabilitation CurrentSince Sep 1, 2022 Accepting new patients
Mi-Health LLC CurrentSince May 1, 2025 Accepting new patients
Rehabilitation Hospital of the Pacific CurrentSince Sep 1, 2022 Accepting new patients
Rehabilitation Hospital of the Pacific Past Accepting new patients

Locations

98-1005 Moanalua Rd
Spc 425
Aiea, HI 96701
Phone (808) 486-8000

226 N Kuakini St
Honolulu, HI 96817
Phone (808) 531-3511

2855 East Manoa Rd
Ste 105
Honolulu, HI 96822
Phone (808) 234-3421

770 Kapiolani Blvd
Ste 500
Honolulu, HI 96813
Phone (808) 666-9960

Interoperability endpoints

  • Direct secure messaging: jordan.wang@532995347120132.direct.elationemr.com

Organizations & group practices 4

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 2

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1487159737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 E MANOA RD STE 105",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221854",
            "telephone_number": "808-387-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172488",
            "telephone_number": "808-531-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JORDAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "HI",
            "license": "MD-22029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.