Individual provider Active NPI

Mingwu Wang, MD, PHD

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1841497765
Registry record updated Feb 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A88508 Issued in CA
Practice address
1200 N State St
Los Angeles, CA 90033-1029
Phone
(323) 226-2622
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A88508 CA Primary

Addresses

Primary practice location

1200 N State St
Los Angeles, CA 90033-1029

Mailing address

1628 Huntington Dr
#8
South Pasadena, CA 91030-4743
Phone (323) 226-5232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080618000350 AZ Practitioner - OphthalmologyPractitioner - Internal Medicine 0648341685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornea Associates, PLLCGroup PAC ID 3375530611, 6 clinicians
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

6422 E Speedway Blvd
Suite 100
Tucson, AZ 85710-1151
Phone (520) 325-9400

707 N Alvernon Way
Suite 301
Tucson, AZ 85711-1848
Phone (520) 694-1460

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Quality
90.32
Improvement activities
40
Cost
79.99

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery178

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88508CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sean J. McCafferty, MD, PC Ophthalmology CurrentSince Apr 11, 2016 Accepting new patients
Banner-University Medical Group CurrentSince Feb 26, 2018 Accepting new patients
Cornea Associates, PLLC Ophthalmology CurrentSince Apr 11, 2016 Accepting new patients
Banner-University Medical Group Internal Medicine CurrentSince Feb 26, 2018 Accepting new patients

Locations

1501 N Campbell Ave
#245575
Tucson, AZ 85724

707 N Alvernon Way
Ste 201
Tucson, AZ 85711
Phone (520) 694-1725

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

4620 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 618-6058

6422 E Speedway Blvd
Ste 100
Tucson, AZ 85710
Phone (520) 325-9400

3974 N Campbell Ave
Tucson, AZ 85719
Phone (520) 325-2651

707 N Alvernon Way
Ste 301
Tucson, AZ 85711
Phone (520) 694-1460

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201996800000",
    "number": "1841497765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 HUNTINGTON DR",
            "address_2": "#8",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304743",
            "telephone_number": "323-226-5232",
            "fax_number": "323-226-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "323-226-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "MINGWU",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2008-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A88508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.