JOANNA WANG (MD) – Urology Physician, NPI 1336608157

JOANNA WANG (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 1019723 (MA). The NPI Number for JOANNA WANG (MD) is 1336608157

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JOANNA WANG (MD)
NPI
1336608157
Phone
(617) 638-8483
Address
725 ALBANY ST STE 3B
Enumeration Date
19 March 2019
Last Update Date
18 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
7746083700
Graduation Year
2019 (7 years ago)
PAC ID
5294062402
Group Practice PAC ID
4789588641
Professional Enrollment ID
I20240711001326
Address ID
MA023602677PL36XXXWAYX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

365 UROLOGY in MA

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Provider Addresses for JOANNA WANG (MD)

  • 3, Albany Street, Nubian Square, South End, Boston, Suffolk County, Massachusetts, 02119, United States

    BOSTON, MA 021182526

    Phone: (617) 638-8483

    Type: Location

  • 100 HIGHLAND ST STE 202

    MILTON, MA 021863884

    Phone: (617) 898-0898

    Fax: (617) 898-0870

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240711001326IUrologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02118)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789588641View full group profile
NameSpecialtyState
-MA
Family PracticeMA
D E R M A T O L O G YMA
Emergency MedicineMA
Internal Medicine, Cardiovascular Disease (Cardiology)MA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Internal MedicineMA
O T O L A R Y N G O L O G YMA

Reviews

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Frequently asked questions

Does JOANNA WANG (MD) have a public NPI I can cite?
Public records show JOANNA WANG (MD) under NPI 1336608157.
Is JOANNA WANG (MD) currently accepting referrals based on NPI status?
Registry metadata lists JOANNA WANG (MD) as active.
What does the directory say JOANNA WANG (MD) does?
Insurance directories may phrase it differently, but here JOANNA WANG (MD) maps to Urology Physician. Clinical services aligned with this taxonomy classification.
Is JOANNA WANG (MD) tied to Boston, Massachusetts?
If you are local to Boston, Massachusetts, JOANNA WANG (MD) may be relevant to your search.
Who maintains JOANNA WANG (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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