Individual provider Active NPI

Jeffrey Ye-Chang Wang, M.D.

  • Vascular Surgery Physician
  • Germantown, MD
National Provider Identifier
1871771808
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
D0068616 Issued in MD
Practice address
20410 Observation Dr
Suite 100
Germantown, MD 20876-4000
Phone
(301) 330-1000
Fax
(301) 330-9108
NPI assigned
Feb 1, 2008
Last updated
Apr 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 059229 GA
Vascular Surgery Physician 2086S0129X D0068616 MD Primary

Addresses

Primary practice location

20410 Observation Dr
Suite 100
Germantown, MD 20876-4000

Mailing address

20410 Observation Dr
Suite 100
Germantown, MD 20876-4000
Phone (301) 330-1000

Other identifiers 1

IdentifierTypeStateIssuer
056174600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090811000071 MD Practitioner - Vascular SurgeryPractitioner - General Surgery 1355495383 Reassigns benefits to 1 organization
I20090904000275 DC Practitioner - Vascular SurgeryPractitioner - General Surgery 1355495383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Loma Linda University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Surgical Group PAGroup PAC ID 3173417540, 8 clinicians

Practice addresses (Care Compare)

1003 W 7TH St
Suite a
Frederick, MD 21701-4153
Phone (240) 529-1414

20410 Observation Dr
Suite 100
Germantown, MD 20876-4000

9715 Medical Ctr Dr
Suite 105
Rockville, MD 20850-6300
Phone (301) 762-0277

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.43 of 100Reported as group
Quality
94.46
Promoting interoperability
93
Improvement activities
40
Cost
77.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal67
Leg revascularization (restoring blood flow)108
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
059229GAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Surgical Group, PA CurrentSince Aug 1, 2009 Accepting new patients
Horizon Surgical Group, PA Vascular Surgery CurrentSince Aug 1, 2009 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1003 W 7th St
Ste A
Frederick, MD 21701
Phone (240) 529-1414

20410 Observation Dr
Ste 100
Germantown, MD 20876
Phone (301) 330-1000

18111 Prince Philip Dr
Ste 226
Olney, MD 20832
Phone (301) 762-0277

9715 Medical Center Dr
Ste 105
Rockville, MD 20850
Phone (301) 762-0277

Organizations & group practices 3

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 3

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": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1871771808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20410 OBSERVATION DR",
            "address_2": "SUITE 100",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764000",
            "telephone_number": "301-330-1000",
            "fax_number": "301-330-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20410 OBSERVATION DR",
            "address_2": "SUITE 100",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764000",
            "telephone_number": "301-330-1000",
            "fax_number": "301-330-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JEFFREY",
        "middle_name": "YE-CHANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-01",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "059229",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0068616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056174600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.