DR. SOPHIE WANG (MD) – Dermatology Physician, NPI 1205396330

DR. SOPHIE WANG (MD) is a healthcare provider. based in Cleveland, Ohio. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. MD.41958 (AL). The NPI Number for DR. SOPHIE WANG (MD) is 1205396330

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. SOPHIE WANG (MD)
NPI
1205396330
Phone
(216) 778-4486
Address
2500 METROHEALTH DRIVE
Enumeration Date
24 March 2019
Last Update Date
3 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2059492800
Graduation Year
2019 (7 years ago)
PAC ID
8325373418
Group Practice PAC ID
9537395652
Professional Enrollment ID
I20240603000196
Address ID
AL352095710BI3550XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Digital endpointsOther names

750 PATHOLOGY in OH

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Provider Addresses for DR. SOPHIE WANG (MD)

  • MetroHealth Medical Center, 2500, Metrohealth Drive, Brooklyn Centre, Cleveland, Cuyahoga County, Ohio, 44109, United States

    CLEVELAND, OH 441091998

    Phone: (216) 778-4486

    Type: Mailing

  • 3550 Independence Dr

    Birmingham, AL 352095710

    Phone: (205) 949-2806

    Type: Location

  • 3415 INDEPENDENCE DR STE 200

    BIRMINGHAM, AL 352098315

    Phone: (205) 871-7332

    Fax: (205) 871-7336

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $2,082.

Total Amount is formed as General ($2,082) + Research ($0) + Ownership ($0) = $2,082.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($842).

Total Amount

$2,082

General + Research + Ownership

Payments

50

Total payment records

General Amount

$2,082

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-06-03

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
I20240603000196IPathologyALTBD

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 44109)

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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: 9537395652View full group profile
NameSpecialtyState
P A T H O L O G YAL
P A T H O L O G YAL
P A T H O L O G YAL
P A T H O L O G YAR

Reviews

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Frequently asked questions

What is the registry number for DR. SOPHIE WANG (MD)?
The registry entry for DR. SOPHIE WANG (MD) shows NPI 1205396330.
Quick check: is DR. SOPHIE WANG (MD) active?
Public NPPES data shows DR. SOPHIE WANG (MD) with an active NPI status right now.
What type of care does DR. SOPHIE WANG (MD) provide?
DR. SOPHIE WANG (MD)'s profile centers on Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is DR. SOPHIE WANG (MD) tied to Cleveland, Ohio?
If you are local to Cleveland, Ohio, DR. SOPHIE WANG (MD) may be relevant to your search.
Can I export DR. SOPHIE WANG (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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