Individual provider Active NPI

Danny D Wang, M.D.

  • Ophthalmology Physician
  • Grand Rapids, MI
National Provider Identifier
1699703470
Registry record updated Apr 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DW069641 Issued in MI
Practice address
2727 E Beltline Ave NE
Suite 101
Grand Rapids, MI 49525-9611
Phone
(616) 361-9205
NPI assigned
Jun 29, 2006
Last updated
Apr 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X DW069641 MI Primary

Addresses

Primary practice location

2727 E Beltline Ave NE
Suite 101
Grand Rapids, MI 49525-9611

Mailing address

2727 E Beltline Ave NE
Suite 101
Grand Rapids, MI 49525-9611
Phone (616) 361-9205

Other identifiers 1

IdentifierTypeStateIssuer
104668240MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041104000176 MI Practitioner - Ophthalmology 6204898083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3100 Wilson Ave SW
Grandville, MI 49418-1200
Phone (616) 361-9205

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DW069641MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glaucoma Eye Center PC Ophthalmology CurrentSince Jul 14, 1998 Accepting new patients
Metropolitan Hospital Ophthalmology Past Accepting new patients
Glaucoma Eye Center PC PastSince Oct 1, 2004 Accepting new patients

Locations

2727 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 361-9205

2727 E Beltline Ave NE
Ste 101
Grand Rapids, MI 49525
Phone (616) 361-9205

3100 Wilson Ave SW
Grandville, MI 49418
Phone (616) 534-7138

3100 Wilson Ave SW
Ste 2
Grandville, MI 49418
Phone (616) 534-8238

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_gec

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366416000000",
    "number": "1699703470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 E BELTLINE AVE NE",
            "address_2": "SUITE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259611",
            "telephone_number": "616-361-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 E BELTLINE AVE NE",
            "address_2": "SUITE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259611",
            "telephone_number": "616-361-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "DANNY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2013-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "DW069641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104668240",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.