BORU WANG MD
NPI 1164926572
Surgery in Rochester, NY

Q: What is Boru Wang's NPI number?

The NPI number for Boru Wang is 1164926572. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Q: What is Boru Wang's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Boru Wang was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 20, 2018PECOS EnrolledAccepts Medicare Assignment

601 ELMWOOD AVENUE BOX SURG, ROCHESTER, NY 14642(585) 275-2723 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 13, 2025, Apr 18, 2018, Mar 20, 2018 (3 updates tracked since 2018).

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About Boru Wang Md NPPES

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

BORU WANG MD (NPI 1164926572) is an individual surgery provider in Rochester, New York, licensed in New York (314379) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Jones Memorial Hospital, and maintains a secondary practice location in Wellsville.

NPPES Registry Identity

NPI1164926572

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameBORU WANGCredential: MD

Location Address601 ELMWOOD AVENUE BOX SURGRochester, NY 14642-0001

Mailing Address601 Elmwood Avenue Box SurgRochester, NY 14642-0001 · (585) 275-2723

Phone(585) 275-2723

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 20, 2018

Last NPPES UpdateOctober 31, 20253 updates tracked since enumeration

NPPES CertifiedOctober 31, 2025

✔ NPI 1164926572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NY · 314379

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

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

601 ELMWOOD AVENUE BOX SURG, Rochester, NY 14642

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Secondary Practice Location 1

Location 1191 N Main StWellsville, NY 14895-1150 · Phone (585) 593-1100 · Fax (585) 596-4005

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Boru Wang Md 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 ID3577807213

PECOS Enrollment IDI20251205002837

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jones Memorial Hospital

Acute Care Hospitals · Wellsville, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330096

Location191 North Main StreetWellsville, NY 14895 · Allegany County

Emergency services Birthing friendly

Nicholas H Noyes Memorial Hospital

Acute Care Hospitals · Dansville, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330238

Location111 Clara Barton StreetDansville, NY 14437 · Livingston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

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.

DANEAL PORTMAN MD

Student in an Organized Health Care Education/Training Program