Individual provider Active NPI

Shiyao Wang, MD

  • Psychosomatic Medicine Physician
  • Cleveland, OH
National Provider Identifier
1568957603
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
35.148762 Issued in OH
Practice address
10201 Carnegie Ave # Ca5-102
Cleveland, OH 44106-2130
Phone
(216) 695-6901
NPI assigned
Jun 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X 35.148762 OH Primary

Addresses

Primary practice location

10201 Carnegie Ave # Ca5-102
Cleveland, OH 44106-2130

Mailing address

10201 Carnegie Ave # Ca5-102
Cleveland, OH 44106-2130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220111001939 PA Practitioner - Psychiatry 3678965282 Reassigns benefits to 2 organizations
I20230906001955 OH Practitioner - Psychiatry 3678965282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.148762OHMDPsychosomatic Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Towards Peace Counseling Services Psychiatry CurrentSince Aug 1, 2022 Accepting new patients
Montgomery County MH-Mr Emergency Service CurrentSince Dec 20, 2021 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Aug 9, 2023 Accepting new patients

Locations

10201 Carnegie Ave
#5102
Cleveland, OH 44106
Phone (216) 695-6901

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

50 Beech Dr
Norristown, PA 19403
Phone (610) 279-6100

619 Wood St
Wilkinsburg, PA 15221
Phone (412) 223-5885

Interoperability endpoints

  • Direct secure messaging: visiontowardspeace.shiyaowang@152028.advancedmd-direct.com

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 and National Provider Directory roles.

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1568957603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 CARNEGIE AVE # CA5-102",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 CARNEGIE AVE # CA5-102",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062130",
            "telephone_number": "216-695-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "SHIYAO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "OH",
            "license": "35.148762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.