Individual provider Active NPI

Patty Tian Wang, MD

  • Gastroenterology Physician
  • Virginia Beach, VA
National Provider Identifier
1962842583
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101270159 Issued in VA
Practice address
1717 Will O'Wisp Drive
Suite 200
Virginia Beach, VA 23454
Phone
(757) 481-4817
Fax
(757) 481-7138
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X 0101270159 VA Primary

Addresses

Primary practice location

1717 Will O'Wisp Drive
Suite 200
Virginia Beach, VA 23454

Mailing address

1717 Will O'Wisp Drive
Suite 200
Virginia Beach, VA 23454
Phone (757) 481-4817

Other practice location 1

1215 Lee St
Box 800744
Charlottesville, VA 22908-0816
Phone (434) 924-1931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20200727003444 VA Practitioner - Gastroenterology 6800015702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians

Practice addresses (Care Compare)

1717 Will O Wisp Dr
Suite 200
Virginia Beach, VA 23454-3102
Phone (757) 481-4817

Hospital & facility affiliations

  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy118
Upper gastrointestinal (GI) endoscopy for acid reflux207

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101270159VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Digestive Care, LLC Gastroenterology CurrentSince Aug 1, 2022 Accepting new patients
Capital Digestive Care ,LLC Gastroenterology CurrentSince Aug 1, 2022 Accepting new patients
Capital Digestive Care ,LLC Gastroenterology Past Accepting new patients

Locations

113 Gainsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 436-3285

113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285

11803 Jefferson Ave
Ste 230
Newport News, VA 23606
Phone (757) 534-7701

885 Kempsville Rd
Ste 114
Norfolk, VA 23502
Phone (757) 466-0165

3009 Corporate Ln
Ste 220
Suffolk, VA 23434
Phone 7574836100 ext. 208

5839 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone (757) 483-6100

1925 Glenn Mitchell Dr
Ste 102
Virginia Beach, VA 23456
Phone (757) 464-1644

828 Healthy Way
Ste 210
Virginia Beach, VA 23462
Phone (757) 481-4817

1717 Will O Wisp Dr
Ste 200
Virginia Beach, VA 23454
Phone (757) 481-4817

217 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 534-7701

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 and National Provider Directory roles.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1962842583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 WILL O'WISP DRIVE",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23454",
            "telephone_number": "757-481-4817",
            "fax_number": "757-481-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 WILL O'WISP DRIVE",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23454",
            "telephone_number": "757-481-4817",
            "fax_number": "757-481-7138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St",
            "address_2": "Box 800744",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080816",
            "country_code": "US",
            "telephone_number": "434-924-1931",
            "fax_number": "434-243-5770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "PATTY",
        "middle_name": "TIAN",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101270159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.