Individual provider Active NPI

Zhengyi Wang

  • Pediatrics Physician
  • Logansport, IN
National Provider Identifier
1669603890
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01077393A Issued in IN
Practice address
1201 Michigan Ave Ste 330
Logansport, IN 46947-1570
Phone
(574) 753-4151
NPI assigned
Aug 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0098917 MD
Pediatrics Physician 208000000X 01077393A IN Primary

Addresses

Primary practice location

1201 Michigan Ave Ste 330
Logansport, IN 46947-1570

Mailing address

26 Saint Charles Ave
Wheeling, WV 26003-9382

Other practice location 1

2004 Cumberland Ave Ste 100
Middlesboro, KY 40965-1385
Phone (606) 248-3015

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, KY, OH, MD, DC, MT6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20180410002237 PA Practitioner - Pediatric Medicine 1759675747 Reassigns benefits to 3 organizations
I20190114002727 KY Practitioner - Pediatric Medicine 1759675747 Reassigns benefits to 1 organization
I20221130002566 OH Practitioner - Pediatric Medicine 1759675747 Reassigns benefits to 1 organization
I20240701000689 MD Practitioner - Pediatric Medicine 1759675747 Reassigns benefits to 4 organizations
I20240701001071 DC Practitioner - Pediatric Medicine 1759675747 Reassigns benefits to 2 organizations
I20260228000817 MT Practitioner - Pediatric Medicine 1759675747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 Eldorado Blvd
Suite 4300
Broomfield, CO 80021-3564

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01077393AINMDPediatrics Physician
D0098917MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Sep 1, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
Upmc Altoona CurrentSince Nov 21, 2023 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Jan 26, 2026 Accepting new patients
Upmc Altoona CurrentSince Nov 21, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Nov 23, 2022 Accepting new patients
Butler Medical Providers Current Accepting new patients
Butler Medical Providers CurrentSince Sep 1, 2022 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC Current Accepting new patients
Upper Chesapeake Medical Services, Inc CurrentSince Jun 1, 2025 Accepting new patients
Thedacare, Incorporated CurrentSince Oct 20, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 20, 2024 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Nov 23, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Jan 26, 2026 Accepting new patients
MGMC, LLC CurrentSince Apr 20, 2024 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Regional Health Services Inc Pediatrics CurrentSince Mar 3, 2018 Accepting new patients
St Marys Hospital of St Marys County Inc Past Accepting new patients
Butler Healthcare Providers Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

435 S Crystal St
Ste 300
Butte, MT 59701
Phone (406) 496-3600

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

Interoperability endpoints

  • Direct secure messaging: zwang301369@ecommunitydirect.com
  • Direct secure messaging: zhengyiwang@arh.medalliesdirect.net
  • Direct secure messaging: upmchospitals@upmcdirect.com
  • Direct secure messaging: zwang1275459@direct.umm.edu

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1669603890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SAINT CHARLES AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260039382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MICHIGAN AVE STE 330",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471570",
            "telephone_number": "574-753-4151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2004 Cumberland Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Middlesboro",
            "state": "KY",
            "postal_code": "409651385",
            "country_code": "US",
            "telephone_number": "606-248-3015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "ZHENGYI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0098917",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01077393A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Logansport, IN

Sources for this page

Verify at the official NPI Registry.