Active NPI
Liyi Pang, M.D.
- Obstetrics & Gynecology Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 233657
- Practice address
- 123 Summer St
Suite 150 S
Worcester, MA 01608 - Phone
- (508) 368-3110
- Fax
- (508) 368-3113
- NPI assigned
- Jul 26, 2007
- Last updated
- Feb 20, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 233657 | MA | Primary |
Addresses
Primary practice location
123 Summer St
Suite 150 S
Worcester, MA 01608
Mailing address
630 Plantation St
Worcester, MA 01605
Phone (508) 368-3110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2142473 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Summer St
Worcester, MA 01608-1216
Phone (864) 908-3530
225 New Lancaster Rd
Leominster, MA 01453-4958
Phone (978) 534-6500
5 Neponset St
Worcesteer, MA 01606-2714
Phone (508) 595-2300
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Vincent Physician Services, Inc. | Current | Accepting new patients | |
| Obhg Massachusetts - Direct, P.C. | Current | Accepting new patients | |
| Reliant Medical Group, Inc | Current | Accepting new patients | |
| VHS Acquisition Subsidiary Number 7 Inc | Past | Accepting new patients | |
| Obhg Massachusetts PC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
225 New Lancaster Rd
Leominster, MA 01453
Phone (978) 466-3208
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327
123 Summer St
Ste 150
Worcester, MA 01608
Phone (508) 368-3110
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
630 Plantation St
Worcester, MA 01605
Phone (508) 368-5529
630 Plantation St
Fl 12
Worcester, MA 01605
Phone (508) 368-5529
Interoperability endpoints
- liyi.pang.npi1558551648.reliant@direct.optumcare.masshiway.net
Organizations & group practices 5
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.
-
- Obstetrics Physician
- Brockton, MA
- NPI 1487229035
-
- Family Medicine Physician
- Worcester, MA
- NPI 1720017528
-
- Family Medicine Physician
- Worcester, MA
- NPI 1013997329
-
- Obstetrics & Gynecology Physician
- Lawrence, MA
- NPI 1740844083
-
dba Saint Vincent Hospital
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Vincent Hospital
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1558551648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 PLANTATION ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01605",
"telephone_number": "508-368-3110",
"fax_number": "508-368-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SUMMER ST",
"address_2": "SUITE 150 S",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01608",
"telephone_number": "508-368-3110",
"fax_number": "508-368-3113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANG",
"first_name": "LIYI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-26",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "233657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2142473",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.