Kayllie Wang, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD466540 Issued in PA

Practice address

1580 McLaughlin Run Rd Ste 208
Upper St Clair, PA 15241-3100

Phone

(412) 221-2121

NPI assigned

Apr 23, 2016

Last updated

Jan 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kwang238243@direct.ahn.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allegheny Clinic Pediatrics

  dba AHN Pediatrics

  • Pediatrics Physician
  • Carnegie, PA
  • NPI 1326436619
  NPD (past)
• Pediatric Alliance, St. Clair Division

  • Pediatrics Physician
  • Pittsburgh, PA
  • NPI 1013220094
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1033564372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WASHINGTON AVE STE 215",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151063616",
            "telephone_number": "412-278-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 MCLAUGHLIN RUN RD STE 208",
            "city": "UPPER ST CLAIR",
            "state": "PA",
            "postal_code": "152413100",
            "telephone_number": "412-221-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Brooks Ln Ste 130",
            "address_purpose": "LOCATION",
            "city": "Clairton",
            "state": "PA",
            "postal_code": "150253749",
            "country_code": "US",
            "telephone_number": "412-460-8111",
            "fax_number": "412-460-8112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "KAYLLIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-23",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD466540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Trinh, OTD, OTR/L
• Turning Stones Counseling and Wellness LLC
• Jeffrey P Verner, DMD
• Ryan Charles Vietmeier, PT, DPT
• Pamela Volz
• Mark Waters, MD
• Britney Wehrle
• Christina M Welc, DO
• William J Katsur, DMD
• Emily Sue Wockley

• Pediatrics Physician in Upper St Clair, PA
• Providers in Upper St Clair, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.