Active NPI
Ao Wang, M.D.
- Internal Medicine Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 16712
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 55368 | AZ | MD | Internal Medicine Physician |
| 16712 | NV | MD | Internal Medicine Physician |
| TL5454 | WY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| App of Southern Arizona HM LLC | Current | Accepting new patients | |
| Modern Nephrology a Professional Medical Corporation | Current | Accepting new patients | |
| Acute Care Associates of California PC | Family Medicine | Current | Accepting new patients |
| Beaver Medical Group P C | Current | Accepting new patients | |
| In Hospitalists, LLC | Current | Accepting new patients | |
| Beaver Medical Group P C | Family Medicine | Current | Accepting new patients |
| Comprehensive Hospitalist Services of Arizona LLC | Current | Accepting new patients | |
| Comprehensive Hospitalist Services of Arizona, LLC | Current | Accepting new patients | |
| Summit Hospitalist Group LLC | Current | Accepting new patients | |
| Northwest HBP Medical Services LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Wildomar, CA
- NPI 1194588392
Family Medicine
-
- Nephrology Physician
- Reseda, CA
- NPI 1881234128
-
- Hospitalist Physician
- Cheyenne, WY
- NPI 1356985600
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
-
- Hospitalist Physician
- Mesa, AZ
- NPI 1689909780
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
-
- Hospitalist Physician
- Brentwood, TN
- NPI 1518542679
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Hospitalist Physician
- Bullhead City, AZ
- NPI 1265823215
-
- Hospitalist Physician
- Terre Haute, IN
- NPI 1225735384
-
- Critical Access Hospital Clinic/Center
- Denver, CO
- NPI 1881261774
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lancaster, CA
- NPI 1366419517
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- General Acute Care Hospital
- Palmdale, CA
- NPI 1508856535
-
- General Acute Care Hospital
- Cheyenne, WY
- NPI 1285621839
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1699129601
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.