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DR. DEREK ZHOU WANG MD
NPI 1245890342
Radiology - Pediatric Radiology in Fargo, ND

Active since June 19, 2019PECOS EnrolledAccepts Medicare Assignment
5225 23RD AVE S, FARGO, ND 58104(701) 417-2575 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2024, Jun 19, 2019 (2 updates tracked since 2019).

About Dr. Derek Zhou Wang Md NPPES

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

DR. DEREK ZHOU WANG MD (NPI 1245890342) is an individual pediatric radiology provider in Fargo, North Dakota, licensed in Pennsylvania (MT231660) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Kittson Healthcare, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1245890342
Entity TypeIndividualMale
Primary Taxonomy2085P0229X
Provider Legal NameDR. DEREK ZHOU WANGCredential: MD
Location Address5225 23RD AVE SFargo, ND 58104-7927
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(701) 417-2575
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 19, 2019
Last NPPES UpdateAugust 18, 20252 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
✔ NPI 1245890342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
License✔ Licensed in PA · MT231660
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4351045644 (MI)
5225 23RD AVE S, Fargo, ND 58104
Open in Google Maps ↗

Secondary Practice Location 1

Location 13401 Civic Center BlvdPhiladelphia, PA 19104-4319 · Phone (267) 590-7000

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

Dr. Derek Zhou Wang Md 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 ID1254832231
PECOS Enrollment IDI20250830000065
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 5

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

Kittson Healthcare

Critical Access Hospitals · Hallock, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241336
Location1010 South Birch AvenueHallock, MN 56728 · Kittson County
Emergency services

Perham Health

Critical Access Hospitals · Perham, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241373
Location1000 Coney Street WestPerham, MN 56573 · Otter Tail County
Emergency services

Sanford Thief River Falls Medical Center

Critical Access Hospitals · Thief River Falls, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241381
Location3001 Sanford ParkwayThief River Falls, MN 56701 · Pennington County
Emergency services

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Sanford Mayville

Critical Access Hospitals · Mayville, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351309
Location42 6th Avenue SEMayville, ND 58257 · Traill County
Emergency services

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.

DANIEL GREGORY FALVEY M.D.
Emergency Medicine
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
DR. KEVIN TORKELSON M.D.
Emergency Medicine
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
DRE STEINWEHR
Internal Medicine
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
DEREK ANDERSON DO
Hospitalist
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 234-5933
MRS. SARAH ELAINE NELL
Nurse Anesthetist, Certified Registered
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
MARY M. NYBAKKEN MD
Obstetrics & Gynecology
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
ASHLEY HEULE
Nurse Anesthetist, Certified Registered
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 371-7635
MIRANDA SCHAAN
Nurse Practitioner
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575

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 Derek Wang's NPI number?

The NPI number for Derek Wang is 1245890342. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Where is Derek Wang located?

Derek Wang practices at 5225 23rd Ave S, Fargo, ND 58104. The listed phone number is (701) 417-2575.

What is Derek Wang's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Derek Wang enrolled in Medicare?

Yes. Derek 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 Derek Wang affiliated with any hospitals?

According to CMS data, Derek Wang is affiliated with Kittson Healthcare, Perham Health, Sanford Thief River Falls Medical Center, Sanford Medical Center Fargo and Sanford Mayville.

When was this NPI record last updated?

The NPPES record for Derek Wang was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.