Active NPI
Kaihua Wang, DPM
- Foot & Ankle Surgery Podiatrist
- Cordova, TN
National Provider Identifier
1144674045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07001303A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 56 |
| Removal of skin lesions | 64 |
| Removal of nail tissue | 566 |
| Removal or shaving of skin growth | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07001303A | IN | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Foot and Ankle Specialists, PLLC | Foot & Ankle Surgery | Current | 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.
-
- Foot & Ankle Surgery Podiatrist
- Cordova, TN
- NPI 1467547588
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.