NPIMap

Individual provider Active NPI

Wan Fung Kwan, M.D.

  • Specialist
  • Gadsden, AL
National Provider Identifier
1063457539
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18372 Issued in AL
Practice address
427 S 3Rd St
Gadsden, AL 35901-5210
Phone
(256) 543-3508
Fax
(256) 543-3506
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 18372 AL Primary

Addresses

Primary practice location

427 S 3Rd St
Gadsden, AL 35901-5210

Mailing address

427 S 3Rd St
Gadsden, AL 35901-5210
Phone (256) 543-3508

Other names 1

  • Gary W Kwan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101214000539 AL Practitioner - NephrologyPractitioner - Internal Medicine 0941353601 Reassigns benefits to 1 organization
Practice locations: Gadsden, AL

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
N E Alabama Nephrology, LLCGroup PAC ID 4688691025, 2 clinicians

Practice addresses (Care Compare)

16 Central Henderson Rd
Boaz, AL 35957-5922
Phone (256) 840-5931

409 S 1St St
Gadsden, AL 35901-5358
Phone (256) 547-2457

427 S 3Rd St
Gadsden, AL 35901-5210
Phone (256) 543-3508

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
N E Alabama Nephrology LLC Specialist CurrentSince Feb 3, 2003 Accepting new patients
Gadsden Nephrology LLC Past Accepting new patients
Edward F. Hwang, M.D. Past Accepting new patients

Locations

16 Central Henderson Rd
Boaz, AL 35957
Phone (256) 840-5931

425 S 3rd St
Gadsden, AL 35901
Phone (256) 543-3508

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBDHAD/Endpoint/DBDHAD

Organizations & group practices 3

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1063457539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S 3RD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015210",
            "telephone_number": "256-543-3508",
            "fax_number": "256-543-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S 3RD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015210",
            "telephone_number": "256-543-3508",
            "fax_number": "256-543-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "WAN",
        "middle_name": "FUNG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "18372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GARY",
            "last_name": "KWAN",
            "middle_name": "W",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.