Active NPI
Siu Ting NG-Wagner, M.D.
- Reproductive Endocrinology Physician
- Rockville, MD
National Provider Identifier
1851491476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- G66514
- Practice address
- 14955 Shady Grove Rd
Suite 125
Rockville, MD 20850-8700 - Phone
- (301) 340-1495
- Fax
- (301) 838-9712
- NPI assigned
- Sep 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | D46493 | MD | |
| Reproductive Endocrinology Physician | 207VE0102X | MD21075 | DC | |
| Reproductive Endocrinology Physician | 207VE0102X | 0101051314 | VA | |
| Reproductive Endocrinology Physician | 207VE0102X | G66514 | CA | Primary |
| Gynecology Physician | 207VG0400X | D46493 | MD | |
| Gynecology Physician | 207VG0400X | MD21075 | DC | |
| Gynecology Physician | 207VG0400X | 0101051314 | VA | |
| Gynecology Physician | 207VG0400X | G66514 | CA |
Addresses
Primary practice location
14955 Shady Grove Rd
Suite 125
Rockville, MD 20850-8700
Mailing address
14955 Shady Grove Rd
Suite 125
Rockville, MD 20850-8700
Phone (301) 340-1495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D46493 | MD | MD | Reproductive Endocrinology Physician |
| G66514 | CA | MD | Gynecology Physician |
| MD21075 | DC | MD | Gynecology Physician |
| 0101051314 | VA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fallsgrove Surgery Center | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
14955 Shady Grove Rd
Ste 125
Rockville, MD 20850
Phone (301) 340-1495
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Rockville, MD
- NPI 1679673297
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1851491476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14955 SHADY GROVE RD",
"address_2": "SUITE 125",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208508700",
"telephone_number": "301-340-1495",
"fax_number": "301-838-9712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14955 SHADY GROVE RD",
"address_2": "SUITE 125",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208508700",
"telephone_number": "301-340-1495",
"fax_number": "301-838-9712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG-WAGNER",
"first_name": "SIU TING",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-24",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "MD",
"license": "D46493",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "DC",
"license": "MD21075",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "VA",
"license": "0101051314",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "CA",
"license": "G66514",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MD",
"license": "D46493",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "DC",
"license": "MD21075",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "VA",
"license": "0101051314",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "G66514",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.