JACK TZU CHIEH WANG MD, PHD.
NPI 1154733053
Psychiatry & Neurology - Neurocritical Care in Stanford, CA

Active since May 27, 2014PECOS EnrolledAccepts Medicare Assignment
300 PASTEUR DR, STANFORD, CA 94305(650) 723-4000 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 9, 2023, Jul 6, 2023, Jul 15, 2020 (3 updates tracked since 2020).

About Jack Tzu Chieh Wang Md, Phd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK TZU CHIEH WANG MD, PHD. (NPI 1154733053) is an individual neurocritical care provider in Stanford, California, licensed in California (A143065) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2014).

NPPES Registry Identity

NPI1154733053
Entity TypeIndividualMale
Primary Taxonomy2084A2900X
Provider Legal NameJACK TZU CHIEH WANGCredential: MD, PHD.
Location Address300 PASTEUR DRStanford, CA 94305-2200
Mailing Address300 Pasteur DrStanford, CA 94305-2200 · (650) 723-4000
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2014
Enumeration DateMay 27, 2014
Last NPPES UpdateNovember 9, 20233 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1154733053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Neurocritical CareAllopathic & Osteopathic Physicians
Taxonomy Code2084A2900X
License✔ Licensed in CA · A143065
Definition
The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License A143065 (CA)
Also ListedPsychiatry & Neurology · Vascular NeurologyTaxonomy 2084V0102X · License A143065 (CA)
300 PASTEUR DR, Stanford, CA 94305

Other Names 1

Other Name (5)Tzu Chieh Wang Md, Phd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jack Tzu Chieh Wang Md, Phd. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092136416
PECOS Enrollment IDI20200610001549
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Jack Wang reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
300 PASTEUR DRIVE
Stanford, CA 94305
  • Reassigned Medicare billing, California enrollment
  • 4,258 clinicians in this Medicare group
Children
725 WELCH RD
Palo Alto, CA 94304
  • Reassigned Medicare billing, California enrollment
  • 3,617 clinicians in this Medicare group
Multi-Specialty
795 EL CAMINO REAL
Palo Alto, CA 94301
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
116 services46 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
300 PASTEUR DR, ALWAY BUILD M211, MC 5187
STANFORD, CA 94305
Radiology (Vascular & Interventional Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
STANFORD, CA 94305
Radiology (Diagnostic Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Nurse Practitioner
300 PASTEUR DR
STANFORD, CA 94305
Neurological Surgery
300 PASTEUR DR
STANFORD, CA 94305
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR, LANE 235
STANFORD, CA 94305
Internal Medicine (Critical Care Medicine)
300 PASTEUR DR
STANFORD, CA 94305

Frequently 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 Jack Wang's NPI number?

The NPI number for Jack Wang is 1154733053. It was assigned to this individual provider in the NPPES registry on May 27, 2014. The provider is also known as Tzu Chieh Wang MD, Phd.

Where is Jack Wang located?

Jack Wang practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.

What is Jack Wang's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurocritical Care, with taxonomy code 2084A2900X.

Is Jack Wang enrolled in Medicare?

Yes. Jack Wang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jack Wang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Wang reassigns Medicare benefits to 3 organizations: Stanford Health Care (Stanford, CA), Lpch Medical Group Div Of Lucile (Palo Alto, CA) and Sutter Bay Medical Foundation (Palo Alto, CA). Each 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 Jack Wang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jack Wang was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.