Active NPI
Emily S Wang, M.D.
- Internal Medicine Physician
- Round Rock, TX
National Provider Identifier
1740209790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L6708
- Practice address
- 2400 Round Rock Ave
Round Rock, TX 78681-4004 - Phone
- (512) 341-1258
- Fax
- (512) 323-5287
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L6708 | TX | Primary |
Addresses
Primary practice location
2400 Round Rock Ave
Round Rock, TX 78681-4004
Mailing address
PO Box 2748
San Antonio, TX 78299-2748
Phone (512) 341-1258
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00211323 | Other | TX | RAILROAD MEDICARE |
| 8R7684 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140528000729 | TX | Order and Referring Only - Internal Medicine | 5395702567 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6708 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Hospitalists, P.a. | Internal Medicine | Past | Accepting new patients |
| Palliative Care Austin, PA | Past | Accepting new patients | |
| Hospital Internists of Austin, P.a. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Round Rock, TX
- NPI 1497788707
-
- Specialist
- Austin, TX
- NPI 1811922461
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Round Rock, TX
- NPI 1386986651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740209790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2748",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782992748",
"telephone_number": "512-341-1258",
"fax_number": "512-323-5287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 ROUND ROCK AVE",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786814004",
"telephone_number": "512-341-1258",
"fax_number": "512-323-5287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "EMILY",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "L6708",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00211323",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8R7684",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.