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MR. CHUNG-YU WANG MD
NPI 1902691512
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since April 14, 2025PECOS Enrolled
1438 S. GRAND BLVD., SAINT LOUIS, MO 63104(314) 617-2777(314) 617-2779 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Chung-yu Wang Md NPPES

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

MR. CHUNG-YU WANG MD (NPI 1902691512) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902691512
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. CHUNG-YU WANGCredential: MD
Location Address1438 S. GRAND BLVD.Saint Louis, MO 63104-1027
Mailing Address1438 S. Grand Blvd.Saint Louis, MO 63104-1027 · (314) 617-2777 · Fax (314) 617-2779
Phone(314) 617-2777
Fax(314) 617-2779
Sole ProprietorNo
Enumeration DateApril 14, 2025
Last NPPES UpdateNovember 17, 2025
NPPES CertifiedNovember 17, 2025
✔ NPI 1902691512 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.

1438 S. GRAND BLVD., Saint Louis, MO 63104
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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)

Mr. Chung-yu 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. POOJA CHAUDHARY MBBS
Student in an Organized Health Care Education/Training Program
1438 S. GRAND BLVD.
ST. LOUIS, MO 63104
St. Louis City (314) 617-2777
MS. LAURA NICOLE BUTLER MD
Student in an Organized Health Care Education/Training Program
1438 S. GRAND BLVD.
ST. LOUIS, MO 63104
St. Louis City (314) 977-4850
DR. HETA RAJYAGURU MD
Student in an Organized Health Care Education/Training Program
1438 S. GRAND BLVD.
ST. LOUIS, MO 63104
St. Louis City (314) 617-2777

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 Chung-yu Wang's NPI number?

The NPI number for Chung-yu Wang is 1902691512. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Where is Chung-yu Wang located?

Chung-yu Wang practices at 1438 S. Grand Blvd., Saint Louis, MO 63104. The listed phone number is (314) 617-2777.

What is Chung-yu 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 Chung-yu Wang enrolled in Medicare?

Yes. Chung-yu Wang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chung-yu Wang was last updated on November 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.