Individual provider Active NPI

Kaihua Wang, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cordova, TN
National Provider Identifier
1144674045
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07001303A Issued in IN
Practice address
8055 Club Pkwy
Cordova, TN 38016-5967
Phone
(901) 309-7700
Fax
(901) 507-3297
NPI assigned
Apr 17, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 07001303A IN Primary

Addresses

Primary practice location

8055 Club Pkwy
Cordova, TN 38016-5967

Mailing address

8055 Club Pkwy
Cordova, TN 38016-5967
Phone (901) 309-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200727000219 TN Practitioner - Podiatry 1456687409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Foot and Ankle Specialists, PLLCGroup PAC ID 5597753046, 6 clinicians

Practice addresses (Care Compare)

8055 Club Pkwy
Cordova, TN 38016-5967
Phone (901) 309-7700

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue56
Removal of skin lesions64
Removal of nail tissue566
Removal or shaving of skin growth12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07001303AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Foot and Ankle Specialists, PLLC Foot & Ankle Surgery CurrentSince Jul 13, 2020 Accepting new patients

Locations

76 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 309-7700

8055 Club Pkwy
Cordova, TN 38016
Phone (901) 309-7700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1460851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1144674045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 CLUB PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165967",
            "telephone_number": "901-309-7700",
            "fax_number": "901-507-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 CLUB PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165967",
            "telephone_number": "901-309-7700",
            "fax_number": "901-507-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "KAIHUA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-17",
        "last_updated": "2025-09-11",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001303A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.