SAMUEL HAO ZAN WANG P.A.-C.
NPI 1174506232
Physician Assistant in Phoenix, AZ

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
5779 E MAYO BLVD, PHOENIX, AZ 85054(480) 301-8000 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel Hao Zan Wang P.a.-c. NPPES

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

SAMUEL HAO ZAN WANG P.A.-C. (NPI 1174506232) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (2188) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Phelps Hospital, and is a graduate of State University Of New York Downstate Medical Center (1996).

NPPES Registry Identity

NPI1174506232
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL HAO ZAN WANGCredential: P.A.-C.
Location Address5779 E MAYO BLVDPhoenix, AZ 85054-4502
Mailing Address5779 E Mayo BlvdPhoenix, AZ 85054-4502 · (480) 301-8000
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1996
Enumeration DateNovember 22, 2005
Last NPPES UpdateMarch 20, 2019
NPI 1174506232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AZ · 2188
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 2188 (AZ)
5779 E MAYO BLVD, Phoenix, AZ 85054

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

Samuel Hao Zan Wang P.a.-c. 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 ID4183615990
PECOS Enrollment IDI20190612002252
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

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

Phelps Hospital

Acute Care Hospitals · Sleepy Hollow, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330261
Location701 N BroadwaySleepy Hollow, NY 10591 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85054 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Urology
5779 E MAYO BLVD
PHOENIX, AZ 85054
Orthopaedic Surgery
5779 E MAYO BLVD
PHOENIX, AZ 85054
Physician Assistant (Surgical)
5779 E MAYO BLVD
PHOENIX, AZ 85054
Urology
5779 E MAYO BLVD
PHOENIX, AZ 85054
Student in an Organized Health Care Education/Training Program
5779 E MAYO BLVD
PHOENIX, AZ 85054
Obstetrics & Gynecology
5779 E MAYO BLVD
PHOENIX, AZ 85054
Internal Medicine (Nephrology)
5779 E MAYO BLVD
PHOENIX, AZ 85054
Plastic Surgery
5779 E MAYO BLVD
PHOENIX, AZ 85054

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 Samuel Wang's NPI number?

The NPI number for Samuel Wang is 1174506232. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Samuel Wang located?

Samuel Wang practices at 5779 E Mayo Blvd, Phoenix, AZ 85054. The listed phone number is (480) 301-8000.

What is Samuel Wang's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samuel Wang enrolled in Medicare?

Yes. Samuel Wang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Samuel Wang affiliated with any hospitals?

According to CMS data, Samuel Wang is affiliated with Phelps Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Wang was last updated on March 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.