Individual provider Active NPI

Henry Wang, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1497757405
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8333 Issued in NV
Practice address
1346 S Decatur Blvd
Las Vegas, NV 89102-8510
Phone
(702) 889-8355
Fax
(702) 889-8699
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Creighton University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1346 S Decatur Blvd
Las Vegas, NV 89102-8510
Phone (702) 889-8355

Hospital & facility affiliations

  • My Family Home Health LLC Home health agency, Las Vegas, NV, CCN 297272
  • Elite Home Health Care, LLC Home health agency, Las Vegas, NV, CCN 297200
  • Dynamic Home Health Care, LLC Home health agency, Las Vegas, NV, CCN 297096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20040929001126 NV Practitioner - Internal Medicine 2567431190 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Wang Inc Internal Medicine CurrentSince Apr 1, 2002 Accepting new patients
Oasis Rheumatology Medical Center - Lee PLLC PastSince Mar 5, 2023 Accepting new patients

Locations

4480 Spring Mountain Rd
Ste 600
Las Vegas, NV 89102
Phone (702) 328-2248

1346 S Decatur Blvd
Las Vegas, NV 89102
Phone (702) 509-7989

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8333 NV Primary

Addresses

NPPES NPI Registry

Primary practice location

1346 S Decatur Blvd
Las Vegas, NV 89102-8510

Mailing address

1346 S Decatur Blvd
Las Vegas, NV 89102-8510
Phone (702) 889-8355

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
002019876MedicaidNV

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2023.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1497757405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028510",
            "telephone_number": "702-889-8355",
            "fax_number": "702-889-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028510",
            "telephone_number": "702-889-8355",
            "fax_number": "702-889-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "HENRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019876",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.