Individual provider Active NPI

Amy Michelle Wang, MD

  • Internal Medicine Physician
  • Troy, OH
National Provider Identifier
1992949150
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.096725 Issued in OH
Practice address
3130 N County Road 25a
Troy, OH 45373-1337
Phone
(937) 440-4466
Fax
(937) 440-4470
NPI assigned
Apr 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.096725 OH Primary
Pediatrics Physician 208000000X 35.096725 OH

Addresses

Primary practice location

3130 N County Road 25a
Troy, OH 45373-1337

Mailing address

3130 N County Road 25a
Troy, OH 45373-1337
Phone (937) 440-4466

Other identifiers 1

IdentifierTypeStateIssuer
0104020MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150501001878 TX Practitioner - Internal Medicine 2860629979 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Group practices
XpertmdGroup PAC ID 5193092393, 39 clinicians

Practice addresses (Care Compare)

18300 Houston Methodist Dr
Houston, TX 77058-6302
Phone (281) 332-3001

18333 Egret Bay Blvd
Suite 140
Houston, TX 77058-3239
Phone (281) 332-3001

200 Blossom St
Webster, TX 77598-4204
Phone (281) 332-3001

500 W Medical Ctr Blvd
Webster, TX 77598-4220
Phone (281) 332-3001

Hospital & facility affiliations

  • Living Hope Home Healthcare Home health agency, Houston, TX, CCN 743196
  • Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709
  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine CurrentSince Mar 7, 2015 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine Current Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine CurrentSince Mar 7, 2015 Accepting new patients
Xpertmd Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Mvhe Inc Internal Medicine Current Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Houston Methodist St. John Hospital Past Accepting new patients

Locations

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

18333 Egret Bay Blvd
Ste 140
Houston, TX 77058
Phone (281) 218-8797

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

411 Alabama Ave
League City, TX 77573
Phone (281) 332-9588

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

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.

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": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1992949150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 N COUNTY ROAD 25A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-440-4466",
            "fax_number": "937-440-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N COUNTY ROAD 25A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-440-4466",
            "fax_number": "937-440-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-30",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.096725",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.096725",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104020",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.