Individual provider Active NPI

Ao Wang, M.D.

  • Internal Medicine Physician
  • Henderson, NV
National Provider Identifier
1841566403
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16712 Issued in NV
Practice address
11425 S Bermuda Rd
Henderson, NV 89052-8710
Phone
(630) 781-3786
NPI assigned
Mar 28, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 55368 AZ
Internal Medicine Physician 207R00000X TL5454 WY
Internal Medicine Physician 207R00000X 281360 NY
Internal Medicine Physician 207R00000X 16712 NV Primary

Addresses

Primary practice location

11425 S Bermuda Rd
Henderson, NV 89052-8710

Mailing address

11425 S Bermuda Rd
Henderson, NV 89052-8710
Phone (630) 781-3786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WY, CA, IN4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20180924000791 AZ Practitioner - Internal Medicine 2062700263 Reassigns benefits to 2 organizations
I20181210000429 WY Practitioner - Internal MedicinePractitioner - Hospitalist 2062700263 Reassigns benefits to 1 organization
I20220822003107 CA Practitioner - Hospitalist 2062700263 Reassigns benefits to 4 organizations
I20250619001061 IN Practitioner - Internal Medicine 2062700263

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Nephrology a Professional Medical CorporationGroup PAC ID 6002246873, 3 clinicians
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Summit Hospitalist Group LLCGroup PAC ID 8527445824, 47 clinicians
Acute Care Associates of California PCGroup PAC ID 2668812215, 55 clinicians

Practice addresses (Care Compare)

1206 W Ave J
Suite 220B
Lancaster, CA 93534-2914
Phone (661) 942-6565

15031 Rinaldi St
Mission Hills, CA 91345-1207
Phone (818) 496-1735

1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 526-4500

214 E 23Rd St
Cheyenne, WY 82001-3748
Phone (307) 324-2221

38600 Medical Ctr Dr
Palmdale, CA 93551-4483
Phone (951) 696-6000

44155 15TH St W
Lancaster, CA 93534-4079
Phone (661) 949-5781

600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55368AZMDInternal Medicine Physician
16712NVMDInternal Medicine Physician
TL5454WYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Southern Arizona HM LLC CurrentSince Nov 9, 2022 Accepting new patients
Modern Nephrology a Professional Medical Corporation CurrentSince Jan 21, 2024 Accepting new patients
Acute Care Associates of California PC Family Medicine CurrentSince Feb 18, 2024 Accepting new patients
Beaver Medical Group P C CurrentSince Jul 20, 2022 Accepting new patients
In Hospitalists, LLC CurrentSince May 23, 2025 Accepting new patients
Beaver Medical Group P C Family Medicine CurrentSince Jul 20, 2022 Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC Current Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC CurrentSince Aug 1, 2018 Accepting new patients
Summit Hospitalist Group LLC CurrentSince Oct 27, 2025 Accepting new patients
Northwest HBP Medical Services LLC CurrentSince Sep 3, 2023 Accepting new patients
Rural Family Physicians Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

501 W Glenoaks Blvd
Ste 221
Glendale, CA 91202

1206 W Avenue J
Ste 220B
Lancaster, CA 93534
Phone (661) 942-6565

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

18040 Sherman Way
Ste 210
Reseda, CA 91335
Phone (424) 421-6001

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

7 Easton Oval
#L4424
Columbus, OH 43219

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: awang20872@epiclp.direct-ci.com

Organizations & group practices 12

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 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": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1841566403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11425 S BERMUDA RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890528710",
            "telephone_number": "630-781-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11425 S BERMUDA RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890528710",
            "telephone_number": "630-781-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "AO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-28",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "55368",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "TL5454",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "281360",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "16712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.