Individual provider Active NPI

Rui Wen Pang, MD

  • Internal Medicine Physician
  • Marana, AZ
National Provider Identifier
1851773881
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
58715 Issued in AZ
Practice address
5224 W Dove Centre Rd
Marana, AZ 85658-5063
Phone
(520) 616-1445
Fax
(520) 616-1446
NPI assigned
Jun 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R75316 AZ
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 236665 NC
Internal Medicine Physician 207R00000X 58715 AZ Primary

Addresses

Primary practice location

5224 W Dove Centre Rd
Marana, AZ 85658-5063

Mailing address

PO Box 188
Marana, AZ 85653-0188
Phone (520) 616-1445

Other practice location 1

2800 E Ajo Way
Tucson, AZ 85713-6204
Phone (520) 874-2829

Other practice location 2

5003 Old Clinic Building Cb#7550
Chapel Hill, NC 27599-7550
Phone (919) 445-6764

Other identifiers 1

IdentifierTypeStateIssuer
528748MedicaidAZ

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
I20190726001458 AZ Practitioner - Internal Medicine 9032421516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marana Health Center IncGroup PAC ID 2365348091, 114 clinicians

Practice addresses (Care Compare)

5224 W Dove Centre Rd
Marana, AZ 85658-5063
Phone (520) 616-1445

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R75316AZMDInternal Medicine Physician
236665NCMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marana Health Center Inc CurrentSince Jul 3, 2019 Accepting new patients
Northwest HBP Medical Services LLC CurrentSince Dec 1, 2023 Accepting new patients
Marana Health Center, Inc Family Medicine CurrentSince Jul 3, 2019 Accepting new patients
App of Southern Arizona HM LLC CurrentSince Jun 12, 2023 Accepting new patients
Marana Health Center, Inc Past Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

5224 W Dove Centre Rd
Marana, AZ 85658
Phone (520) 616-1445

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

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

2945 W Ina Rd
Ste 215
Tucson, AZ 85741

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

3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560

Interoperability endpoints

  • Direct secure messaging: ruiwen.pang@1278.direct.myezyaccess.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1851773881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856530188",
            "telephone_number": "520-616-1445",
            "fax_number": "520-616-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5224 W DOVE CENTRE RD",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856585063",
            "telephone_number": "520-616-1445",
            "fax_number": "520-616-1446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 E Ajo Way",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857136204",
            "country_code": "US",
            "telephone_number": "520-874-2829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5003 Old Clinic Building Cb#7550",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275997550",
            "country_code": "US",
            "telephone_number": "919-445-6764",
            "fax_number": "919-966-9746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANG",
        "first_name": "RUI WEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R75316",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "236665",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "58715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528748",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marana, AZ

Sources for this page

Verify at the official NPI Registry.