Individual provider Active NPI

Angeline Liu Wang, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Dallas, TX
National Provider Identifier
1750714879
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
S2195 Issued in TX
Practice address
6201 Harry Hines Blvd
Dallas, TX 75390-9201
Phone
(214) 645-9729
NPI assigned
Aug 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X S2195 TX
Ophthalmology Physician 207W00000X A149302 CA
Ophthalmology Physician 207W00000X 62927 WI
Retina Specialist (Ophthalmology) Physician 207WX0107X S2195 TX Primary

Addresses

Primary practice location

6201 Harry Hines Blvd
Dallas, TX 75390-9201

Mailing address

PO Box 845347
Dallas, TX 75284-5347
Phone (214) 645-2020

Other practice location 1

UW Hospital and Clinics
600 Highland Ave, H4/831
Madison, WI 53792-0001
Phone (608) 263-5339

Other practice location 2

850 Health Sciences Rd
Irvine, CA 92617-3058
Phone (949) 824-2020

Other practice location 3

5303 Harry Hines Blvd
Dallas, TX 75390-7208
Phone (214) 645-2020

Other practice location 4

12400 Dallas Pkwy
Frisco, TX 75033-4229
Phone (214) 645-2020

Other practice location 5

8200 walnut Hill Ln
Dallas, TX 75231-4496
Phone (214) 645-2020

Other practice location 6

5323 Harry Hines Blvd
MC 9057
Dallas, TX 75390-7028
Phone (214) 648-0504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170711002998 CA Practitioner - Ophthalmology 3274839808 Reassigns benefits to 2 organizations
I20190820003537 TX Practitioner - Ophthalmology 3274839808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5303 Harry Hines Blvd
FL 6
Dallas, TX 75390-7208
Phone (214) 645-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A149302CAMDOphthalmology Physician
62927WIMDOphthalmology Physician
S2195TXMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Ophthalmology CurrentSince Jul 14, 2017 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Regents of the University of California Ophthalmology CurrentSince Jun 19, 2017 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Ophthalmology CurrentSince Sep 1, 2019 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 1, 2019 Accepting new patients

Locations

850 Health Sciences Rd
Irvine, CA 92617
Phone (949) 824-0606

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

5303 Harry Hines Blvd
Fl 6
Dallas, TX 75390
Phone (214) 645-2225

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

800 8th Ave
Ste 306
Fort Worth, TX 76104
Phone (817) 336-1300

12400 Dallas Pkwy
Frisco, TX 75033
Phone (469) 495-2000

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

420 E 6th St
Ste 202
Odessa, TX 79761
Phone (214) 648-9618

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

5303 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Phone (214) 645-2300

5323 Harry Hines Blvd
Stop 9057
Ut Southwest Medical Center, TX 75390
Phone (214) 648-0504

Interoperability endpoints

  • Direct secure messaging: awang345289@ahs.direct-ci.com

Organizations & group practices 5

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 1

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": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1750714879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "214-645-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909201",
            "telephone_number": "214-645-9729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "UW Hospital and Clinics",
            "address_2": "600 Highland Ave, H4/831",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537920001",
            "country_code": "US",
            "telephone_number": "608-263-5339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Health Sciences Rd",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926173058",
            "country_code": "US",
            "telephone_number": "949-824-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5303 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907208",
            "country_code": "US",
            "telephone_number": "214-645-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12400 Dallas Pkwy",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750334229",
            "country_code": "US",
            "telephone_number": "214-645-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8200 walnut Hill Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314496",
            "country_code": "US",
            "telephone_number": "214-645-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_2": "MC 9057",
            "address_purpose": "LOCATION",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907028",
            "country_code": "US",
            "telephone_number": "214-648-0504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "ANGELINE",
        "middle_name": "LIU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "S2195",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A149302",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "62927",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "S2195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.