VIVIAN WAN
NPI 1508341355
Urology in Chicago, IL

Q: What is Vivian Wan's NPI number?

The NPI number for Vivian Wan is 1508341355. It was assigned to this individual provider in the NPPES registry on September 27, 2018.

Q: What is Vivian Wan's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Vivian Wan was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 September 27, 2018PECOS Enrolled

251 E HURON ST, CHICAGO, IL 60611(312) 503-7975 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vivian Wan NPPES

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

VIVIAN WAN (NPI 1508341355) is an individual urology provider in Chicago, Illinois, licensed in Illinois (125.080225) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508341355

Entity TypeIndividualFemale

Primary Taxonomy208800000X

Provider Legal NameVIVIAN WAN

Location Address251 E HURON STChicago, IL 60611-2908

Mailing Address251 E Huron StChicago, IL 60611-2908

Phone(312) 503-7975

Sole ProprietorNo

Enumeration DateSeptember 27, 2018

Last NPPES UpdateMay 31, 2022

NPPES CertifiedMay 15, 2022

✔ NPI 1508341355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in IL · 125.080225

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

251 E HURON ST, Chicago, IL 60611

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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)

Vivian Wan 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 60611 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

MARK WANG M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

251 E HURON ST, FEINBERG PAVILION
CHICAGO, IL 60611

Cook County (312) 503-8144

DR. MARLEY ANN DOYLE M/D.

Psychiatry & Neurology (Psychiatry)

251 E HURON ST, GALTER 3-150, C
CHICAGO, IL 60611

Cook County (312) 926-6895

CASSIDY SCHWAB MD

Anesthesiology