Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAN WAN M.D.
NPI 1295707123
Dermatology in Braintree, MA

Active since February 04, 2006PECOS Enrolled
340 WOOD RD, BRAINTREE, MA 02184(781) 849-1111(781) 794-2280 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Wan M.d. NPPES

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

SAN WAN M.D. (NPI 1295707123) is an individual dermatology provider in Braintree, Massachusetts, licensed in Massachusetts (46315) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295707123
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameSAN WANCredential: M.D.
Location Address340 WOOD RDBraintree, MA 02184-2401
Mailing Address8 Wildflower LnWeston, MA 02493-1167 · (781) 647-9863
Fax(781) 794-2280
Sole ProprietorNo
Enumeration DateFebruary 4, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1295707123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MA · 46315
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
340 WOOD RD, Braintree, MA 02184

Other Identifiers 9

Other01Y000581MA01Anthem
Other2430963Aetna
OtherP00034200Railroad Medicare
OtherB20406102Cigna
Medicaid0156736MA
Other713618MA · Tufts Health Plans
Other401197MA · Harvard Pilgrim Healthcar
OtherB36040MA · Blue Cross Blue Shield Of
Other0300380United Healthcare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

San Wan M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02184 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Internal Medicine
340 WOOD RD, SUITE 203
BRAINTREE, MA 02184
Pediatrics
340 WOOD RD, SUITE 301
BRAINTREE, MA 02184
Pediatrics
340 WOOD RD, SUITE 301
BRAINTREE, MA 02184
Dentist (Pediatric Dentistry)
340 WOOD RD, SUITE 288
BRAINTREE, MA 02184
Clinic/Center (Radiology)
340 WOOD RD, SUITE 204
BRAINTREE, MA 02184
Physical Therapist
340 WOOD RD, SUITE 102
BRAINTREE, MA 02184
Optometrist
340 WOOD RD, SUITE 2020
BRAINTREE, MA 02184
Psychiatry & Neurology (Psychiatry)
340 WOOD RD, SUITE 306
BRAINTREE, MA 02184

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 San Wan's NPI number?

The NPI number for San Wan is 1295707123. It was assigned to this individual provider in the NPPES registry on February 4, 2006.

Where is San Wan located?

San Wan practices at 340 Wood Rd, Braintree, MA 02184. The listed phone number is (781) 849-1111.

What is San Wan's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is San Wan enrolled in Medicare?

Yes. San Wan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for San Wan 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 26 days 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.