Individual provider Active NPI

Xin C Wang, M.D.

  • Neurology Physician
  • Sellersville, PA
National Provider Identifier
1528051257
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD418769 Issued in PA
Practice address
920 Lawn Ave
The Summit - Suite 5
Sellersville, PA 18960-1560
Phone
(215) 257-4900
Fax
(215) 257-6681
NPI assigned
Aug 29, 2005
Last updated
Apr 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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 MD418769 PA Primary

Addresses

Primary practice location

920 Lawn Ave
The Summit - Suite 5
Sellersville, PA 18960-1560

Mailing address

920 Lawn Ave
The Summit - Suite 5
Sellersville, PA 18960-1560
Phone (215) 257-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101202000545 PA Practitioner - Neurology 7113938358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

920 Lawn Ave
Sellersville, PA 18960-1560
Phone (215) 257-4900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD418769PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Dec 16, 2021 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Neurology CurrentSince Dec 16, 2021 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients

Locations

920 Lawn Ave
Ste 5
Sellersville, PA 18960
Phone (215) 257-4900

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1528051257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 LAWN AVE",
            "address_2": "THE SUMMIT - SUITE 5",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601560",
            "telephone_number": "215-257-4900",
            "fax_number": "215-257-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 LAWN AVE",
            "address_2": "THE SUMMIT - SUITE 5",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601560",
            "telephone_number": "215-257-4900",
            "fax_number": "215-257-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "XIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD418769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.