Individual provider Active NPI

Rita Lap Kee Wang, MD

  • Pediatrics Physician
  • Carson City, NV
National Provider Identifier
1710984364
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7549 Issued in NV
Practice address
1475 Medical Pkwy
Carson City, NV 89703-4635
Phone
(775) 885-2229
Fax
(775) 882-5045
NPI assigned
Jun 28, 2005
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 7549 NV Primary

Addresses

Primary practice location

1475 Medical Pkwy
Carson City, NV 89703-4635

Mailing address

1946 Old Hot Springs Rd
Carson City, NV 89706-0674
Phone (775) 882-1324

Other identifiers 1

IdentifierTypeStateIssuer
1710984364MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20050519000520 NV Practitioner - Pediatric Medicine 7810934973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Medical Group Professional CorporationGroup PAC ID 4183520778, 49 clinicians

Practice addresses (Care Compare)

1475 Medical Pkwy
Carson City, NV 89703-4635
Phone (775) 883-3636

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Medical Group Professional Corporation Pediatrics CurrentSince Nov 5, 2014 Accepting new patients
Carson Tahoe Regional Healthcare Past Accepting new patients
Barton Healthcare System Past Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Past Accepting new patients

Locations

1200 Mountain St
Carson City, NV 89703
Phone (775) 882-1324

1200 Mountain St
Ste 23
Carson City, NV 89703

1475 Medical Pkwy
Carson City, NV 89703
Phone (775) 883-3636

1475 Medical Pkwy
Ste 110
Carson City, NV 89703

1946 Old Hot Springs Rd
Carson City, NV 89706
Phone (775) 283-5050

925 Ironwood Dr
Ste 2111
Minden, NV 89423
Phone (775) 283-5050

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABJDAA
  • Direct secure messaging: rita.wang@cmg1.eclinicaldirectplus.com

Organizations & group practices 4

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1710984364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 OLD HOT SPRINGS RD",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060674",
            "telephone_number": "775-882-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 MEDICAL PKWY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034635",
            "telephone_number": "775-885-2229",
            "fax_number": "775-882-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "RITA",
        "middle_name": "LAP KEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "7549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710984364",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.