Jimmy Chihhong Wang, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

14609 Issued in NV

Practice address

2020 Palomino LN
#100
Las Vegas, NV 89106-4842

Phone

(702) 759-8600

Fax

(702) 384-1815

NPI assigned

May 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA, NV2 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

Specialty

Diagnostic RadiologyAlso: Interventional Radiology

Education

University of California, San Diego School of Medicine, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Radiology Specialists LTD Marasso-MillerGroup PAC ID 0143110874, 136 clinicians

Ellis Bandt Birkin Kollins and Wong PLLCGroup PAC ID 4486568946, 68 clinicians

Shelin Agrawal and Hyer PLLCGroup PAC ID 5890955959, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041
• Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054
• Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046
• Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
• Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Ellis Bandt Birkin Kollins & Wong PLLC

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1578584678

  CA

  Medicare reassignment Care Compare group NPD
• Radiology Specialists LTD Marasso-Miller

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1437196979

  CA

  Medicare reassignment Care Compare group NPD
• Shelin Agrawal and Hyer PLLC

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1861783961

  CA

  Medicare reassignment Care Compare group NPD
• Regents of the University of California

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1558463927
  Medicare reassignment NPD
• Regents of the University of California

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1417050956
  NPD

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

• Centennial Hills Hospital Medical Center

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1295319085

  Hospital

  Care Compare affiliation
• Centennial Hills Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1487771812
  Care Compare affiliation
• Centennial Hills Hospital Medical Center

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1942991245

  Hospital

  Care Compare affiliation
• Spring Valley Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1346230323
  Care Compare affiliation
• Spring Valley Medical Center

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1588219117

  Hospital

  Care Compare affiliation
• Spring Valley Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1982289690
  Care Compare affiliation
• Summerlin Hospital Medical Center L L C

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831189638
  Care Compare affiliation
• Summerlin Hospital Medical Center L L C

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1861234619

  Hospital

  Care Compare affiliation
• Sunrise Hospital and Medical Center, LLC

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1861439952
  Care Compare affiliation
• Sunrise Mountainview Hospital, Inc.

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1104870187
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1578764593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 PALOMINO LN",
            "address_2": "#100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064842",
            "telephone_number": "702-759-8600",
            "fax_number": "702-384-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 PALOMINO LN",
            "address_2": "#100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064842",
            "telephone_number": "702-759-8600",
            "fax_number": "702-384-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JIMMY",
        "middle_name": "CHIHHONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A110883",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "14609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR DRS",
            "identifier": "P01285910",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P001148261",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578764593",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578764593",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Wang
• Jason S Wang, OD
• Jeffrey Wang, DMD
• Jian Wang
• Jihsteve Wang
• Jin Wang
• Jooyeon Wang
• Jue Wang
• June Wang
• Justine Wang, PA

• Diagnostic Radiology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Diagnostic Radiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.

Verify at the official NPI Registry.