NPIMap

Individual provider Active NPI

Lily Jinling Wang, MD

  • Vascular Surgery Physician
  • Scarborough, ME
National Provider Identifier
1811344146
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD27087 Issued in ME
Practice address
92 Campus Dr Ste D
Scarborough, ME 04074-7229
Phone
(207) 661-2087
NPI assigned
May 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X LP03605 RI
Vascular Surgery Physician 2086S0129X R3811 NH
Vascular Surgery Physician 2086S0129X MD27087 ME Primary

Addresses

Primary practice location

92 Campus Dr Ste D
Scarborough, ME 04074-7229

Mailing address

92 Campus Dr Ste D
Scarborough, ME 04074-7229
Phone (207) 661-2087

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230919002168 ME Practitioner - Vascular SurgeryPractitioner - General Surgery 7315226768 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
State University of New York at Stony Brook, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians
St Marys Regional Medical CenterGroup PAC ID 0042107120, 192 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

92 Campus Dr
Scarborough, ME 04074-7229

93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-8100

99 Campus Ave
Lewiston, ME 04240-6045

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
  • St Mary'S Regional Medical Center Hospital, Lewiston, ME, CCN 200034
  • Mainehealth Mid Coast Hospital Hospital, Brunswick, ME, CCN 200021
  • Mainehealth Pen Bay Hospital Hospital, Rockport, ME, CCN 200063

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)14
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD27087MEMDVascular Surgery Physician
R3811NHMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners Surgery CurrentSince Sep 5, 2023 Accepting new patients
Mainehealth CurrentSince Sep 5, 2023 Accepting new patients
Mainehealth CurrentSince Sep 5, 2023 Accepting new patients
St. Mary'S Regional Medical Center Current Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Sep 13, 2023 Accepting new patients
Maine Medical Partners Surgery Current Accepting new patients
Mainehealth Current Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Sep 13, 2023 Accepting new patients
Mainehealth Past Accepting new patients
Mainehealth Past Accepting new patients

Locations

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

92 Campus Dr
Ste D
Scarborough, ME 04074
Phone (207) 662-6782

92 Campus Dr
Fl 3
Scarborough, ME 04074
Phone (207) 797-5753

92 Campus Dr
Ste D1
Scarborough, ME 04074

Interoperability endpoints

  • Direct secure messaging: lwang596928@direct.mmc.mainehealth.org

Organizations & group practices 10

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 39

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1811344146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 CAMPUS DR STE D",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747229",
            "telephone_number": "207-661-2087",
            "fax_number": "401-444-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 CAMPUS DR STE D",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747229",
            "telephone_number": "207-661-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "LILY",
        "middle_name": "JINLING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "LP03605",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NH",
            "license": "R3811",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "ME",
            "license": "MD27087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.