DR. KEVIN JOHN WANG MD
NPI 1265014989
Student in an Organized Health Care Education/Training Program in Tucson, AZ

Q: What is Kevin Wang's NPI number?

The NPI number for Kevin Wang is 1265014989. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Q: What is Kevin Wang's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Wang was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 22, 2021PECOS Enrolled

1501 N CAMPBELL AVE, TUCSON, AZ 85724(520) 626-7747(520) 626-2247 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 22, 2023, Apr 22, 2021 (2 updates tracked since 2021).

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About Dr. Kevin John Wang Md NPPES

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

DR. KEVIN JOHN WANG MD (NPI 1265014989) is an individual student in an organized health care education/training program in Tucson, Arizona, licensed in Arizona (R78686) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265014989

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. KEVIN JOHN WANGCredential: MD

Location Address1501 N CAMPBELL AVETucson, AZ 85724-0001

Mailing AddressPo Box 245058Tucson, AZ 85724-5058 · (520) 626-7747 · Fax (520) 626-2247

Phone(520) 626-7747

Fax(520) 626-2247

Sole ProprietorYes

Enumeration DateApril 22, 2021

Last NPPES UpdateMarch 22, 20232 updates tracked since enumeration

NPPES CertifiedMarch 20, 2023

✔ NPI 1265014989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in AZ · R78686

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.

1501 N CAMPBELL AVE, Tucson, AZ 85724

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin John 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.

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.

MR. DOUGLAS FRANK LARSON PH.D.

Perfusionist

1501 N CAMPBELL AVE, SUITE 4402 ARIZONA HEALTH SCIENCE CENTER
TUCSON, AZ 85724

Pima County (520) 626-6339

MARTIN DEMANT

Pediatrics