DAVID R WANG DO, MPH
NPI 1023803269
Student in an Organized Health Care Education/Training Program in Fort Wayne, IN

Active since April 09, 2025PECOS Enrolled
2200 RANDALLIA DR, FORT WAYNE, IN 46805(260) 373-7765 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David R Wang Do, Mph NPPES

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

DAVID R WANG DO, MPH (NPI 1023803269) is an individual student in an organized health care education/training program in Fort Wayne, Indiana and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023803269
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAVID R WANGCredential: DO, MPH
Location Address2200 RANDALLIA DRFort Wayne, IN 46805-4638
Mailing Address2200 Randallia DrFort Wayne, IN 46805-4638 · (260) 373-7765
Sole ProprietorNo
Enumeration DateApril 9, 2025
NPPES CertifiedApril 9, 2025
NPI 1023803269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2200 RANDALLIA DR, Fort Wayne, IN 46805

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David R Wang Do, Mph 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.

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
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Emergency Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Pediatrics (Neonatal-Perinatal Medicine)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Registered Nurse
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Nurse Practitioner
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Physician Assistant
2200 RANDALLIA DR
FORT WAYNE, IN 46805

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 David Wang's NPI number?

The NPI number for David Wang is 1023803269. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is David Wang located?

David Wang practices at 2200 Randallia Dr, Fort Wayne, IN 46805. The listed phone number is (260) 373-7765.

What is David Wang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is David Wang enrolled in Medicare?

Yes. David Wang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Wang was last updated on April 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.