JIMIN WANG, MD, PA
NPI 1114106887
Internal Medicine in Houston, TX
About Jimin Wang, Md, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIMIN WANG, MD, PA (NPI 1114106887) is a healthcare organization registered as an internal medicine in Houston, Texas and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through December 30, 2027 and lists Jimin Wang, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jimin Wang, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jimin Wang, MD, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D1020754
Jimin Wang, MD · Houston, TXFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jimin Wang, MD, PA's NPI number?
The NPI number for Jimin Wang, MD, PA is 1114106887. It was assigned to this organization in the NPPES registry on October 30, 2007.
Where is Jimin Wang, MD, PA located?
Jimin Wang, MD, PA is located at 9888 Bellaire Blvd Ste 122, Houston, TX 77036. The listed phone number is (713) 272-6442.
What is Jimin Wang, MD, PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jimin Wang, MD, PA enrolled in Medicare?
Yes. Jimin Wang, MD, PA is registered in the Medicare PECOS enrollment system.
When is Jimin Wang, MD, PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jimin Wang, MD, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Jimin Wang, MD, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jimin Wang, MD, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D1020754) is associated with this NPI, valid through December 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jimin Wang, MD, PA was last updated on October 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jimin Wang, Md, Pa · NPI 1114106887
Internal Medicine organization in Houston, Texas. Organization record, active in the CMS NPPES registry since October 30, 2007.
## Identity
- **NPI:** 1114106887 (Entity type: Organization)
- **Enumerated:** October 30, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Jimin Wang, PRESIDENT
## Practice location
- **Address:** 9888 BELLAIRE BLVD STE 122, Houston, TX 77036-3431
- **Phone:** (713) 272-6442 · **Fax:** (713) 995-7902
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 30, 2007
- **Other identifiers:** Medicare UPIN I04972 (TX); Medicare PIN 8B8248 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114106887) · Data from the CMS NPPES public registry.