FAN WANG MD PHD OB GYN PLLC
NPI 1003046541
Obstetrics & Gynecology in Houston, TX

Active since July 17, 2009CLIA 45D1053058 · Microscopy
6671 SOUTHWEST FWY STE 320, HOUSTON, TX 77074(713) 884-8887(713) 884-8480 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fan Wang Md Phd Ob Gyn Pllc NPPES

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

FAN WANG MD PHD OB GYN PLLC (NPI 1003046541) is a healthcare organization registered as an obstetrics & gynecology in Houston, Texas and active in the NPI registry since July 2009. The organization holds a CLIA Microscopy certificate valid through April 11, 2028 and lists Fan Wang, Owner, as its authorized official.

NPPES Registry Identity

NPI1003046541
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameFAN WANG MD PHD OB GYN PLLC
Location Address6671 SOUTHWEST FWY STE 320Houston, TX 77074-2220
Mailing Address6 Windsor PlHouston, TX 77055-3900 · (713) 884-8887 · Fax (713) 884-8480
Fax(713) 884-8480
Organization SubpartNo
Authorized OfficialFan WangOwner · (832) 782-3777
Enumeration DateJuly 17, 2009
Last NPPES UpdateAugust 31, 2020
NPPES CertifiedAugust 31, 2020
✔ NPI 1003046541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · M2236
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
6671 SOUTHWEST FWY STE 320, Houston, TX 77074

Other Identifiers 1

Medicaid177382201TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Fan Wang Md Phd Ob Gyn Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 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.

StateEnrollment IDDue date
StateTexasEnrollment IDO20090819000055Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fan Wang MD Phd Ob Gyn PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Obstetrics/Gynecology
NPI 1942263009
6671 SOUTHWEST FWY STE 320
Houston, TX 77074
(713) 884-8887
✔ PECOSSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 45D1053058

Fan Wang · Houston, TX
Active · expires Apr 11, 2028
CLIA Number45D1053058
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorFan Wang
Laboratory Phone(713) 884-8887
Laboratory LocationFan Wang6671 Southwest Freeway Suite 320, Houston, TX 77074
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Fan Wang MD Phd Ob Gyn PLLC's NPI number?

The NPI number for Fan Wang MD Phd Ob Gyn PLLC is 1003046541. It was assigned to this organization in the NPPES registry on July 17, 2009.

Where is Fan Wang MD Phd Ob Gyn PLLC located?

Fan Wang MD Phd Ob Gyn PLLC is located at 6671 Southwest Fwy Ste 320, Houston, TX 77074. The listed phone number is (713) 884-8887.

What is Fan Wang MD Phd Ob Gyn PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Fan Wang MD Phd Ob Gyn PLLC enrolled in Medicare?

Yes. Fan Wang MD Phd Ob Gyn PLLC is registered in the Medicare PECOS enrollment system.

When is Fan Wang MD Phd Ob Gyn PLLC'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 October 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 Fan Wang MD Phd Ob Gyn PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Fan Wang MD Phd Ob Gyn PLLC. 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 Fan Wang MD Phd Ob Gyn PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1053058) is associated with this NPI, valid through April 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fan Wang MD Phd Ob Gyn PLLC was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.