Individual provider Active NPI

Samuel Wang, M.D.

  • Diagnostic Radiology Physician
  • Englewood, CO
National Provider Identifier
1881631935
Registry record updated Mar 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
39387 Issued in CO
Practice address
501 E Hampden Ave
Englewood, CO 80113-2702
Phone
(303) 761-9190
Fax
(720) 874-4462
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25105 NE
Diagnostic Radiology Physician 2085R0202X 04-36535 KS
Diagnostic Radiology Physician 2085R0202X MD17525 HI
Diagnostic Radiology Physician 2085R0202X 39387 CO Primary

Addresses

Primary practice location

501 E Hampden Ave
Englewood, CO 80113-2702

Mailing address

10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895
Phone (303) 761-9190

Other identifiers 19

IdentifierTypeStateIssuer
1881631935MedicaidUT
1881631935MedicaidMT
1881631935/7729370MedicaidSD
200424620AMedicaidOK
1881631935MedicaidWY
1881631935MedicaidMN
80120571MedicaidNM
84-059792913MedicaidNE
10025709000MedicaidNE
104686463MedicaidMI
1881631935MedicaidIA
200274306MedicaidMO
920505MedicaidAZ
200417130AMedicaidKS
02300223MedicaidNY
87879557MedicaidCO
204644301MedicaidTX
1881631935MedicaidCA
99112261MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 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
I20050426000202 CO Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 8527007087 Reassigns benefits to 9 organizations
I20130715000332 KS Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 8527007087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Yale University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Imaging Associates PCGroup PAC ID 2860391257, 147 clinicians

Practice addresses (Care Compare)

10800 E Geddes Ave
Suite 300
Englewood, CO 80112-3895
Phone (303) 761-9190

Hospital & facility affiliations

  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034
  • Banner North Colorado Medical Center Hospital, Greeley, CO, CCN 060001
  • AdventHealth Parker Hospital, Parker, CO, CCN 060114
  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113
  • Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116

Merit-based Incentive Payment System (MIPS)

Final score
84.14 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
76.51

Merit-based Incentive Payment System (MIPS)

Final score
70.7 of 100Reported as group
Quality
65.53
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39387COMDDiagnostic Radiology Physician
MD17525HIMDDiagnostic Radiology Physician
04-36535KSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Radiologic Associates, LTD. Diagnostic Radiology CurrentSince Jan 1, 2015 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology CurrentSince Sep 17, 2017 Accepting new patients
Regional West Medical Center Diagnostic Radiology CurrentSince Jun 17, 2024 Accepting new patients
Dodge City Diagnostic, LLC CurrentSince Jan 2, 2018 Accepting new patients
Banner Imaging Services Colorado LLC CurrentSince Oct 1, 2020 Accepting new patients
Banner Imaging Services Colorado LLC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Uchealth Imaging Services, LLC CurrentSince Jan 1, 2026 Accepting new patients
Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT Diagnostic Radiology CurrentSince Jul 1, 2001 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
University Physician Associates of New Jersey Inc PastSince Jan 1, 1990 Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Diagnostic Imaging Associates Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
University Psychiatric Associates PastSince Jan 1, 1990 Accepting new patients
University Physician Associates of New Jersey Inc PastSince Jan 1, 1990 Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
University Physician Associates of New Jersey Inc PastSince Jan 1, 1990 Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
University Physician Associates of New Jersey Inc PastSince Jan 1, 1990 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
University Physician Associates of New Jersey, Inc. PastSince Jan 1, 1990 Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients
University Physician Associates of New Jersey, Inc. PastSince Jan 1, 1990 Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
University Physician Associates of New Jersey Inc Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients

Locations (25 of 32)

1400 S Potomac St
Ste 180B
Aurora, CO 80012

1400 S Potomac St
Ste 180
Aurora, CO 80012
Phone (303) 695-2603

875 W 136th Ave
Ste 100
Broomfield, CO 80023
Phone (303) 457-7700

9681 Prominent Pt
Ste 130
Colorado Springs, CO 80924
Phone (719) 600-3700

12 Snowmass Rd
Crested Butte, CO 81225
Phone (970) 349-0321

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

2055 N High St
Ste 180
Denver, CO 80205
Phone (303) 839-7490

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

701 E Hampden Ave
Ste 110
Englewood, CO 80113
Phone (303) 515-2023

10800 E Geddes Ave
Ste 300
Englewood, CO 80112
Phone (303) 791-9190

10700 E Geddes Ave
Ste 200
Englewood, CO 80112

400 Indiana St
Ste 130
Golden, CO 80401
Phone (720) 493-3411

8200 E Belleview Ave
Ste 600E
Greenwood Village, CO 80111
Phone (720) 493-3406

8200 E Belleview Ave
Ste 200E
Greenwood Village, CO 80111
Phone (303) 850-3200

8200 E Belleview Ave
Ste 124C
Greenwood Village, CO 80111
Phone (720) 493-3272

8200 E Belleview Ave
Ste 124
Greenwood Village, CO 80111
Phone (303) 741-1501

130 E Virginia Ave
Gunnison, CO 81230
Phone (303) 641-0211

707 N Iowa St
Ste B
Gunnison, CO 81230
Phone (970) 648-7105

707 N Iowa St
Gunnison, CO 81230
Phone (970) 641-1771

711 N Taylor St
Gunnison, CO 81230
Phone (970) 641-1456

8200 Southpark Ter
Littleton, CO 80120
Phone (720) 493-3251

6169 S Balsam Way
Ste 170
Littleton, CO 80123
Phone (303) 841-3100

10450 Park Meadows Dr
Ste 105
Lone Tree, CO 80124
Phone (303) 925-0075

10107 Ridgegate Pkwy
Ste 110
Lone Tree, CO 80124
Phone (720) 493-3539

2555 E 13th St
Ste 100
Loveland, CO 80537
Phone (970) 461-6193

Organizations & group practices 39

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.

View all 39

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711843200000",
    "number": "1881631935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 E GEDDES AVE STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123895",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HAMPDEN AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132702",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
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            "primary": false
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}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.