Active NPI
Timothy Y. Wang, M.D.
- Neurological Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 036168857
- Practice address
- 1520 W Harrison St
Chicago, IL 60607-3106 - Phone
- (312) 942-6644
- NPI assigned
- Mar 31, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurological Surgery Physician | 207T00000X | 036168857 | IL | Primary |
Addresses
Primary practice location
1520 W Harrison St
Chicago, IL 60607-3106
Mailing address
1520 W Harrison St
Chicago, IL 60607-3106
Phone (312) 942-6644
Other practice location 1
134 Churment Ct
Durham, NC 27703-6434
Phone (216) 255-2271
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
- Neurosurgery
- Education
- Duke University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Physiotherapy Associates Inc
Practice addresses (Care Compare)
1520 W Harrison St
Chicago, IL 60607-3106
Phone (312) 942-5904
1940 Tamiami TRL
Suite 104
Port Charlotte, FL 33948-2105
Phone (941) 883-0083
Hospital & facility affiliations
- Accentcare Home Health of Illinois
- Rush University Medical Center
- Rush Oak Park Hospital
- Copley Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 173 |
| Laminectomy or laminotomy (partial removal of spine bones) | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036168857 | IL | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook County | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Rush University Medical Center | Current | Accepting new patients | |
| Rush University Medical Group | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients |
Locations
1520 W Harrison St
Chicago, IL 60607
Phone (312) 226-2371
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
1625 N Harlem Ave
Chicago, IL 60707
Phone (312) 256-8583
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
75 Remittance Dr
Dept 1611
Chicago, IL 60675
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1689165540
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aurora, IL
- NPI 1295882561
-
- Home Health Agency
- Lombard, IL
- NPI 1528094109
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1609308261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073106",
"telephone_number": "312-942-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073106",
"telephone_number": "312-942-6644"
}
],
"practiceLocations": [
{
"address_1": "134 Churment Ct",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277036434",
"country_code": "US",
"telephone_number": "216-255-2271",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "TIMOTHY",
"middle_name": "Y.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-31",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IL",
"license": "036168857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.