DR. CHARLES E WANG MD
NPI 1063476984
Radiology - Diagnostic Radiology in Puyallup, WA

Active since April 17, 2006PECOS Enrolled
222 15TH AVE SE, PUYALLUP, WA 98372(253) 841-4353(253) 581-5698 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Charles E Wang Md NPPES

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

DR. CHARLES E WANG MD (NPI 1063476984) is an individual diagnostic radiology provider in Puyallup, Washington, licensed in Washington (MD00043610) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063476984
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. CHARLES E WANGCredential: MD
Location Address222 15TH AVE SEPuyallup, WA 98372-3754
Mailing Address7424 Bridgeport Way W, Suite 103Lakewood, WA 98499-8120 · (253) 841-4353 · Fax (253) 581-5698
Fax(253) 581-5698
Sole ProprietorNo
Enumeration DateApril 17, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1063476984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in WA · MD00043610✔ Licensed in FL · ME85716
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
222 15TH AVE SE, Puyallup, WA 98372

Other Identifiers 2

Medicaid8391054WA
Other185865WA · L&i

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles E 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.

Medicare Billing Reassignment

Medicare enrollment records show Charles Wang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Skilled Nursing Facility
2811 NE 139TH ST
Vancouver, WA 98686
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • 2,534 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98372 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology Practitioner Assistant
222 15TH AVE SE
PUYALLUP, WA 98372
Radiology (Diagnostic Radiology)
222 15TH AVE SE
PUYALLUP, WA 98372
Radiology (Diagnostic Radiology)
222 15TH AVE SE
PUYALLUP, WA 98372
Radiology (Diagnostic Radiology)
222 15TH AVE SE
PUYALLUP, WA 98372
Radiology (Diagnostic Radiology)
222 15TH AVE SE
PUYALLUP, WA 98372
Radiology (Diagnostic Radiology)
222 15TH AVE SE
PUYALLUP, WA 98372
Radiology (Diagnostic Radiology)
222 15TH AVE SE
PUYALLUP, WA 98372
Radiology (Diagnostic Radiology)
222 15TH AVE SE
PUYALLUP, WA 98372

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 Charles Wang's NPI number?

The NPI number for Charles Wang is 1063476984. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Charles Wang located?

Charles Wang practices at 222 15th Ave SE, Puyallup, WA 98372. The listed phone number is (253) 841-4353.

What is Charles Wang's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Charles Wang enrolled in Medicare?

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

Which organization bills Medicare for Charles Wang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Wang reassigns Medicare benefits to Manor Care Of Salmon Creek Wa, Association (Vancouver, WA). The 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 Charles Wang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Wang was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.