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MR. OTTO WANG AA
NPI 1376470120
Student in an Organized Health Care Education/Training Program in Oklahoma City, OK

Active since May 06, 2026Accepts Medicare Assignment
3300 NW EXPWY, OKLAHOMA CITY, OK 73112(469) 437-3564 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Otto Wang Aa NPPES

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

MR. OTTO WANG AA (NPI 1376470120) is an individual student in an organized health care education/training program in Oklahoma City, Oklahoma and active in the NPI registry since May 2026. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1376470120
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. OTTO WANGCredential: AA
Location Address3300 NW EXPWYOklahoma City, OK 73112-4418
Mailing Address3300 Nw Expwy, Surgery Main 2nd Fl, Unit 2a2176Oklahoma City, OK 73112-4418 · (469) 437-3564
Phone(469) 437-3564
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1376470120 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
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.
3300 NW EXPWY, Oklahoma City, OK 73112
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Otto Wang Aa 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 ID6305301177
PECOS Enrollment IDI20260722001995

Medicare Billing Reassignment

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

The San Antonio Orthopaedic Group, LLP
418 mi
Orthopaedic Surgery
400 CONCORD PLAZA DR, STE 300
San Antonio, TX 78216
  • Reassigned Medicare billing, Texas enrollment
  • 163 clinicians in this Medicare group
NPI 1720022494 (210) 804-5416

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

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.

DAVID DREW ALEXANDER
Emergency Medicine
3300 NW EXPWY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 949-3011
AMEERA SALOUS
Physician Assistant
3300 NW EXPWY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 949-3011
MRS. TAYLOR BROOKE HERZER PA-C
Physician Assistant (Medical)
3300 NW EXPWY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 949-3011
RYAN QUINONEZ RN
Registered Nurse (Critical Care Medicine)
3300 NW EXPWY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 601-6116
ARIA KHAN MD
Internal Medicine
3300 NW EXPWY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 949-3011
TAYLOR KLIEWER NP
Nurse Practitioner (Acute Care)
3300 NW EXPWY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 949-3011
EVELYN NGUYEN
Registered Nurse (Neuroscience)
3300 NW EXPWY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 949-3011
KEELEY COHLMIA PA-C
Physician Assistant
3300 NW EXPWY
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 949-3011

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 Otto Wang's NPI number?

The NPI number for Otto Wang is 1376470120. It was assigned to this individual provider in the NPPES registry on May 6, 2026.

Where is Otto Wang located?

Otto Wang practices at 3300 NW Expwy, Oklahoma City, OK 73112. The listed phone number is (469) 437-3564.

What is Otto Wang's specialty?

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

Is Otto Wang enrolled in Medicare?

Yes. Otto 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.

Which organization bills Medicare for Otto Wang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Otto Wang reassigns Medicare benefits to The San Antonio Orthopaedic Group, LLP (San Antonio, TX). 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 Otto 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 Otto Wang was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.