DR. SHIH-HSIU WANG M.D.
NPI 1689930604
Pathology - Anatomic Pathology in New York, NY

NPI Status: Active since April 03, 2012

Contact Information

630 W 168TH ST
NEW YORK, NY
ZIP 10032
Phone: (410) 971-2577

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  • Individual
  • Male
  • Years of Experience 23
  • Pathology
  • Anatomic Pathology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SHIH-HSIU WANG

This page provides the complete NPI Profile along with additional information for Shih-hsiu Wang, a provider established in New York, New York with a medical specialization in Pathology, focusing in anatomic pathology and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1689930604 assigned on April 2012. The practitioner's primary taxonomy code is 207ZP0101X with license number 286176 (NY). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1689930604
Provider Name
DR. SHIH-HSIU WANG M.D.
Other Name
DR. JERRY WANG M.D.
Other Name Type
Other Name (5)
Gender
Male
Entity Type
Individual
Location Address
630 W 168TH ST NEW YORK, NY 10032
Location Phone
(410) 971-2577
Mailing Address
630 W 168TH ST NEW YORK, NY 10032
Medical School Name
OTHER
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
04-03-2012
Last Update Date
02-17-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology

Taxonomy Code
207ZP0101X
Type
Allopathic & Osteopathic Physicians
License No.
286176
License State
NY
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Shih-hsiu Wang is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Shih-hsiu Wang is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7810272630

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20180416002243

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Pathology examination of specimen during surgery, first tissue block

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

This service was performed 44 times for 34 patients

Pathology examination of tissue using a microscope, intermediate complexity

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

This service was performed 29 times for 26 patients

Pathology examination of tissue using a microscope, moderately high complexity

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

This service was performed 64 times for 43 patients

Pathology examination of tissue using a microscope, moderately low complexity

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

This service was performed 29 times for 29 patients

Special stained specimen slides to examine tissue, each additional procedure

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

This service was performed 174 times for 44 patients

Special stained specimen slides to examine tissue, initial procedure

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

This service was performed 54 times for 50 patients

Surgical pathology consultation and report on referred slides prepared elsewhere

A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.

This service was performed 13 times for 13 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $37.56 for a new patient copayment and $28.72 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 10032 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $150.24
  • Minimum New Patient Price $65.69
  • Maximum New Patient Price $198.19
  • Average New Patient Copayment $37.56
  • Minimum New Patient Copayment $16.42
  • Maximum New Patient Copayment $49.54

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $114.88
  • Minimum Established Patient Price $21.2
  • Maximum Established Patient Price $160.66
  • Average Established Patient Copayment $28.72
  • Minimum Established Patient Copayment $5.3
  • Maximum Established Patient Copayment $40.16

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Shih-hsiu Wang is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
DUKE UNIVERSITY HOSPITAL2100 ERWIN RD
DURHAM, NC 27705
(919) 684-8111Acute Care Hospitals

Reviews for DR. SHIH-HSIU WANG M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1689930604, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 6 + 9 + 1 + 8 + 3 + 0 + 6 + 0 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1689930604.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
630 W 168TH ST
NEW YORK, NY 10032
Internal Medicine (Rheumatology)
630 W 168TH ST, 10-445
NEW YORK, NY 10032
Internal Medicine (Infectious Disease)
630 W 168TH ST, BOX 82
NEW YORK, NY 10032
Pediatrics (Pediatric Endocrinology)
630 W 168TH ST, PH5E, ROOM 522
NEW YORK, NY 10032
Radiology (Diagnostic Radiology)
630 W 168TH ST, MC28
NEW YORK, NY 10032
Radiology (Diagnostic Radiology)
630 W 168TH ST, MC28
NEW YORK, NY 10032
Radiology (Diagnostic Radiology)
630 W 168TH ST, MC28
NEW YORK, NY 10032
Internal Medicine (Pulmonary Disease)
630 W 168TH ST, VC 5
NEW YORK, NY 10032
Pathology (Anatomic Pathology & Clinical Pathology)
630 W 168TH ST
NEW YORK, NY 10032
Pediatrics
630 W 168TH ST
NEW YORK, NY 10032
Dentist (Oral and Maxillofacial Surgery)
630 W 168TH ST, SUITE VC7-226
NEW YORK, NY 10032
Dentist (Pediatric Dentistry)
630 W 168TH ST, SUITE VC7-226
NEW YORK, NY 10032
Dentist (General Practice)
630 W 168TH ST, P&S BOX 20
NEW YORK, NY 10032
Internal Medicine (Pulmonary Disease)
630 W 168TH ST
NEW YORK, NY 10032
Physician Assistant
630 W 168TH ST
NEW YORK, NY 10032
Family Medicine
630 W 168TH ST
NEW YORK, NY 10032
Dentist (Endodontics)
630 W 168TH ST
NEW YORK, NY 10032
Dentist (General Practice)
630 W 168TH ST, COLUMBIA UNIVERSITY COLLEGE OF DENTAL M
NEW YORK, NY 10032
Dentist
630 W 168TH ST, PH 7 STEM
NEW YORK, NY 10032
Internal Medicine
630 W 168TH ST, PH 8 EAST, ROOM 105
NEW YORK, NY 10032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689930604, enumerated as an "individual" on April 03, 2012.

The provider is located at 630 W 168TH ST NEW YORK, NY 10032 and the phone number is (410) 971-2577.

Pathology with taxonomy code 207ZP0101X and a focus in Anatomic Pathology.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.

Shih-hsiu Wang is affiliated with: DUKE UNIVERSITY HOSPITAL.