NPIMap

Individual provider Active NPI

Vinson Wang

  • Urology Physician
  • Chicago, IL
National Provider Identifier
1770823494
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036.157247 Issued in IL
Practice address
1725 W Harrison St
Chicago, IL 60612-3841
Phone
(312) 563-5000
NPI assigned
Feb 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036.157247 IL Primary

Addresses

Primary practice location

1725 W Harrison St
Chicago, IL 60612-3841

Mailing address

1725 W Harrison St Ste 352
Chicago, IL 60612-3852
Phone (312) 563-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN, OH3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220713002970 KY Practitioner - Urology 5395084180 Reassigns benefits to 1 organization
I20220725000387 IN Practitioner - Urology 5395084180 Reassigns benefits to 1 organization
I20220804000585 OH Practitioner - Urology 5395084180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Johns Hopkins University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri State Urologic Services PSC IncGroup PAC ID 6204740889, shared by 8 NPIs, 74 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

2000 Joseph E Sanker Blvd
Cincinnati, OH 45212-1979
Phone (513) 841-7400

350 Thomas More Pkwy
Suite 200
Crestview Hills, KY 41017-5460
Phone (859) 363-2200

605 Wilson Creek Rd
Suite 1
Lawrenceburg, IN 47025-2507
Phone (859) 363-2200

7567 Central Parke Blvd
Mason, OH 45040-6852

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.83 of 100Reported as group
Promoting interoperability
98
Improvement activities
40
Cost
83.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.157247ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri State Urologic Services PSC Inc Urology CurrentSince Aug 15, 2022 Accepting new patients
Tri State Urologic Services PSC Inc Urology CurrentSince Aug 15, 2022 Accepting new patients
Tri State Urologic Services PSC Inc Urology CurrentSince Aug 15, 2022 Accepting new patients
Tri State Urologic Services PSC Inc Urology CurrentSince Aug 15, 2022 Accepting new patients
Tri State Urologic Services PSC Inc Urology Current Accepting new patients

Locations

605 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 496-8779

605 Wilson Creek Rd
Ste 1
Lawrenceburg, IN 47025
Phone (513) 574-5400

350 Thomas More Pkwy
Ste 200
Crestview Hills, KY 41017
Phone (859) 363-2200

3301 Mercy Health Blvd
Ste 525
Cincinnati, OH 45211
Phone (513) 841-7700

4360 Ferguson Dr
Ste 100
Cincinnati, OH 45245
Phone (513) 841-7750

740 W Galbraith Rd
Ste 150
Cincinnati, OH 45231
Phone (513) 841-7700

2000 Joseph E Sanker Blvd
Norwood, OH 45212
Phone (513) 841-7400

Interoperability endpoints

  • Direct secure messaging: vinsonwang@tsus.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1360972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1770823494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 352",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123852",
            "telephone_number": "312-563-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-563-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "VINSON",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-16",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036.157247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.