Individual provider Active NPI

Xinda D Wang, MD

  • Medical Oncology Physician
  • Renton, WA
National Provider Identifier
1700855822
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD00043315 Issued in WA
Practice address
3915 Talbot Rd S Ste 300
Renton, WA 98055-5738
Phone
(425) 690-3409
Fax
(425) 690-9004
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X MD00043315 WA Primary

Addresses

Primary practice location

3915 Talbot Rd S Ste 300
Renton, WA 98055-5738

Mailing address

9620 S 219TH PL
Kent, WA 98031-2484

Other practice location 1

1717 13th St
Everett, WA 98201
Phone (425) 297-5560

Other practice location 2

1003 S 5th St Fl 3
Tacoma, WA 98405-4210
Phone (253) 403-1677

Other practice location 3

1131 Bridgeport Way SW
Suite 303
Lakewood, WA 98499
Phone (253) 770-1700

Other practice location 4

1003 S 5th St Fl 3
Tacoma, WA 98405-4210
Phone (253) 403-1677

Other practice location 5

1519 3rd St SE Ste 260
Puyallup, WA 98372-3716
Phone (253) 770-1700

Other identifiers 4

IdentifierTypeStateIssuer
P00213596OtherRAILROAD MEDICARE
8390676MedicaidWA
9026WAOtherREGENCE BLUE SHIELD RIDER
1016849MedicaidWA

Other names 1

  • David Xinda Wang Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20040527001304 WA Practitioner - Medical OncologyPractitioner - Hematology/Oncology 2062493760 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology/Oncology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Medical Group-RentonGroup PAC ID 4183753965, 419 clinicians

Practice addresses (Care Compare)

3915 Talbot Rd S
Suite 300
Renton, WA 98055-5738
Phone (425) 656-5570

Hospital & facility affiliations

  • Valley Medical Center Hospital, Renton, WA, CCN 500088

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jul 24, 2006 Accepting new patients
Optum Care Washington PLLC CurrentSince Dec 18, 2018 Accepting new patients
Partner Oncology Inc CurrentSince Nov 1, 2020 Accepting new patients
Optum Care Washington PLLC CurrentSince Dec 18, 2018 Accepting new patients
Valley Medical Group-Renton CurrentSince Sep 1, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Jul 24, 2006 Accepting new patients
Public Hospital District #1 of King County Past Accepting new patients

Locations

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

1717 13th St
Everett, WA 98201
Phone (425) 297-5500

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

141 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8880

1519 3rd St SE
Ste 260
Puyallup, WA 98372
Phone (253) 770-1700

3915 Talbot Rd S
Ste 300
Renton, WA 98055
Phone (425) 656-5570

3600 Lind Ave SW
Ste 100
Renton, WA 98057

121 W K St
Shelton, WA 98584
Phone (360) 413-8880

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

1003 S 5th St
Fl 3
Tacoma, WA 98405
Phone (253) 403-1677

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: xwang17575@direct.valleymed.org

Organizations & group practices 8

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1700855822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 S 219TH PL",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980312484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 TALBOT RD S STE 300",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555738",
            "telephone_number": "425-690-3409",
            "fax_number": "425-690-9004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 13th St",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "98201",
            "country_code": "US",
            "telephone_number": "425-297-5560",
            "fax_number": "425-297-5561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 S 5th St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984054210",
            "country_code": "US",
            "telephone_number": "253-403-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1131 Bridgeport Way SW",
            "address_2": "Suite 303",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "98499",
            "country_code": "US",
            "telephone_number": "253-770-1700",
            "fax_number": "253-770-1702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 S 5th St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984054210",
            "country_code": "US",
            "telephone_number": "253-403-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 3rd St SE Ste 260",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983723716",
            "country_code": "US",
            "telephone_number": "253-770-1700",
            "fax_number": "253-770-1702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "XINDA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "WA",
            "license": "MD00043315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00213596",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8390676",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD RIDER",
            "identifier": "9026WA",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016849",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "WANG",
            "middle_name": "XINDA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.