Active NPI
Katherine Ke Wang, MD
- Neurological Surgery Physician
- Cambridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 210278
- Practice address
- 300 Mount Auburn St
Dob 316
Cambridge, MA 02138-5600 - Phone
- (617) 497-6058
- Fax
- (617) 499-5441
- NPI assigned
- Nov 10, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 210278 | MA | Primary |
Addresses
Primary practice location
300 Mount Auburn St
Dob 316
Cambridge, MA 02138-5600
Mailing address
300 Mount Auburn St
Dob 316
Cambridge, MA 02138-5600
Phone (617) 497-6058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0134805 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800
133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000
300 Mount Auburn St
Cambridge, MA 02138-5600
Phone (617) 868-0880
300 Mount Auburn St
Suite 316
Cambridge, MA 02138-5665
Phone (617) 499-5095
40 Holland St
Somerville, MA 02144-2705
Phone (617) 629-6000
Hospital & facility affiliations
- Mount Auburn Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology & Rehabilitation, PC | Current | Accepting new patients | |
| Atrius Health, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Current | Accepting new patients | |
| Mount Auburn Professional Services Inc | Current | Accepting new patients | |
| Atrius Health, Inc. | Current | Accepting new patients | |
| Mt Auburn Professional Services | Current | Accepting new patients | |
| Atrius Health, Inc. | Past | Accepting new patients | |
| Massachusetts Institute of Technology | Past | Accepting new patients |
Locations
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
300 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5025
300 Mount Auburn St
Ste 316
Cambridge, MA 02138
Phone (617) 868-0880
57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500
40 Holland St
Somerville, MA 02144
Phone (617) 629-6000
Interoperability endpoints
- kwangmd12346@direct.atrius.masshiway.net
- https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
- kwang253911@direct.bilh.masshiway.net
Organizations & group practices 8
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
- Boston, MA
- NPI 1871639914
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1992750996
-
- Neurology Physician
- Cambridge, MA
- NPI 1508036773
-
- Internal Medicine Physician
- Beverly, MA
- NPI 1114265634
-
- Internal Medicine Physician
- Somerville, MA
- NPI 1154535813
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1013375203
-
- Internal Medicine Physician
- Boston, MA
- NPI 1740238526
-
- Multi-Specialty Clinic/Center
- Cambridge, MA
- NPI 1346308723
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1689670259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310515200000",
"number": "1912988486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MOUNT AUBURN ST",
"address_2": "DOB 316",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385600",
"telephone_number": "617-497-6058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MOUNT AUBURN ST",
"address_2": "DOB 316",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385600",
"telephone_number": "617-497-6058",
"fax_number": "617-499-5441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "KATHERINE",
"middle_name": "KE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-10",
"last_updated": "2011-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MA",
"license": "210278",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0134805",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.