Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY WANG MD
NPI 1164126884
Family Medicine in Seattle, WA

Q: What is Mary Wang's NPI number?

The NPI number for Mary Wang is 1164126884. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Q: What is Mary Wang's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Wang was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.

Active since March 28, 2023PECOS Enrolled

10521 MERIDIAN AVE N, SEATTLE, WA 98133(206) 296-4990(206) 205-5142 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 17, 2026, Mar 28, 2023 (2 updates tracked since 2023).

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About Mary Wang Md NPPES

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

MARY WANG MD (NPI 1164126884) is an individual family medicine provider in Seattle, Washington, licensed in Washington (MD.MD.70154333) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1164126884

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARY WANGCredential: MD

Location Address10521 MERIDIAN AVE NSeattle, WA 98133-9509

Mailing Address1200 12th Ave S Ste 901Seattle, WA 98144-2712

Phone(206) 296-4990

Fax(206) 205-5142

Sole ProprietorNo

Enumeration DateMarch 28, 2023

Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1164126884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD.MD.70154333

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10521 MERIDIAN AVE N, Seattle, WA 98133

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Secondary Practice Location 1

Location 11300 N 12th St Ste 605Phoenix, AZ 85006-2850 · Phone (602) 839-4567

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Wang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. GABIJA REVIS DMD

Dentist