Jiasen Wang, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD2023-1076 Issued in NM

Practice address

8316 Kaseman CT NE
Albuquerque, NM 87110-7639

Phone

(505) 292-5850

NPI assigned

Apr 18, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NM, IL3 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 3

Specialty

Dermatology

Education

University of Texas Medical School at Houston, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metro East Dermatology and Skin Cancer Center LLCGroup PAC ID 9739451956, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.02 of 100Reported as group

Quality

84.61

Promoting interoperability

100

Improvement activities

40

Cost

82.12

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jiasen.wang@epiphanyderm.emadirect.md

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.

• Metro East Dermatology & Skin Cancer Center LLC

  • Dermatology Physician
  • Shiloh, IL
  • NPI 1518494996
  Medicare reassignment Care Compare group NPD
• Epiphany Dermatology of New Mexico, LLC

  • Dermatology Physician
  • Albuquerque, NM
  • NPI 1447615760
  Medicare reassignment NPD
• Richard G Bennett MD

  • Dermatology Physician
  • Santa Monica, CA
  • NPI 1467508523
  Medicare reassignment NPD
• Skin Cancer Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • O Fallon, IL
  • NPI 1699407643
  Medicare reassignment NPD
• Dermatology Consultants of Albuquerque PC

  • Dermatology Physician
  • Albuquerque, NM
  • NPI 1912990151
  NPD (past)

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1760045355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 RANCH RD. 2222, BLDG 1, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787303255",
            "telephone_number": "512-628-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 KASEMAN CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107639",
            "telephone_number": "505-292-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JIASEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-18",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NM",
            "license": "MD2023-1076",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A186212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Rae Wang, MD
• Bobby Hung-Jeh Wang, M.D.
• Edward Wang, DO
• Emelia J Wang, MD
• Jiang Wang, D.O.M.
• Margaret Wang, PHARMD
• Margaret Wang
• Ming Li Wang
• Niven Wang
• Shanze Wang, MD

• Dermatology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dermatology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.