Active NPI
Xu Wang, M.D.
- Cardiovascular Disease Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 003602
- Practice address
- 444 Roxbury Rd
Rockford, IL 61107-5059 - Phone
- (815) 398-3000
- NPI assigned
- May 15, 2007
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 003602 | GA | Primary |
Addresses
Primary practice location
444 Roxbury Rd
Rockford, IL 61107-5059
Mailing address
444 Roxbury Rd
Rockford, IL 61107-5059
Phone (815) 398-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
444 Roxbury Rd
Rockford, IL 61107-5059
Phone (815) 398-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003602 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Hospital Authority of Wayne County Georgia | Past | Accepting new patients | |
| Hospital Authority of Wayne County Georgia | Past | Accepting new patients |
Locations
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
1401 E 12th St
Mendota, IL 61342
Phone (815) 539-7461
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181
444 Roxbury Rd
#12471
Rockford, IL 61107
444 Roxbury Rd
Rockford, IL 61107
Phone (815) 395-9196
1850 Gateway Dr
Sycamore, IL 60178
Phone (815) 217-3252
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Hospitalist Physician
- Jesup, GA
- NPI 1275703985
-
- Certified Registered Nurse Anesthetist
- Jesup, GA
- NPI 1366506222
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba OSF Saint Paul Medical Center
- Critical Access Hospital
- Mendota, IL
- NPI 1609803113
-
dba OSF Saint Katharine Medical Center
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
-
- Critical Access Hospital
- Rochelle, IL
- NPI 1821053216
-
dba OSF Saint Anthony Medical Center
- General Acute Care Hospital
- Rockford, IL
- NPI 1790739977
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379635200000",
"number": "1558577460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 ROXBURY RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075059",
"telephone_number": "815-398-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 ROXBURY RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075059",
"telephone_number": "815-398-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "XU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2013-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "003602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.