Individual provider Active NPI

Jennifer H.F. Wang, M.D.

  • Internal Medicine Physician
  • Royal Oak, MI
National Provider Identifier
1962404483
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301075319 Issued in MI
Practice address
309 E 11 Mile Rd
Royal Oak, MI 48067-2735
Phone
(947) 522-4900
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301075319 MI Primary

Addresses

Primary practice location

309 E 11 Mile Rd
Royal Oak, MI 48067-2735

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

6900 Orchard Lake Rd Ste 101
West Bloomfield, MI 48322-3424
Phone (248) 855-7565

Other practice location 2

29645 W 14 Mile Rd Ste 110
Farmington Hills, MI 48334-1666
Phone (248) 254-6000

Other practice location 3

1949 W 12 Mile Rd Ste 100
Berkley, MI 48072-1868
Phone (248) 551-0615

Other practice location 4

1202 Walton Blvd Ste 216
Rochester Hills, MI 48307-6917
Phone (248) 710-3023

Other practice location 5

22646 E 9 Mile Rd Ste A
Saint Clair Shores, MI 48080-1951
Phone (586) 498-4800

Other identifiers 1

IdentifierTypeStateIssuer
2419914MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwang22498@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080306000028 MI Practitioner - Internal Medicine 9931284692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakwood Ambulatory LLCGroup PAC ID 1850282914, 271 clinicians

Practice addresses (Care Compare)

201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065

22646 E 9 Mile Rd a
Corewell Health Family Medicine
Saint Clair Shores, MI 48080-1951
Phone (586) 498-4800

309 E 11 Mile Rd
Corewell Health Family Medicine
Royal Oak, MI 48067-2735
Phone (947) 522-4900

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: jwang1260717@epic00.shdirect.org

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1962404483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E 11 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672735",
            "telephone_number": "947-522-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 Orchard Lake Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223424",
            "country_code": "US",
            "telephone_number": "248-855-7565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29645 W 14 Mile Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483341666",
            "country_code": "US",
            "telephone_number": "248-254-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1949 W 12 Mile Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Berkley",
            "state": "MI",
            "postal_code": "480721868",
            "country_code": "US",
            "telephone_number": "248-551-0615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1202 Walton Blvd Ste 216",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483076917",
            "country_code": "US",
            "telephone_number": "248-710-3023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22646 E 9 Mile Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480801951",
            "country_code": "US",
            "telephone_number": "586-498-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "JENNIFER",
        "middle_name": "H.F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301075319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2419914",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwang22498@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "309 E 11 Mile Rd",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480672735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.