Individual provider Active NPI

Wade Wei Kang, M.D

  • Vascular Surgery Physician
  • Kalamazoo, MI
National Provider Identifier
1164612453
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
40725 Issued in IA
Practice address
601 John St
Suite M-283a
Kalamazoo, MI 49007-5341
Phone
(269) 349-7696
Fax
(269) 488-8313
NPI assigned
Aug 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MT 181967 PA
Surgery Physician 208600000X 4301106309 MI
Vascular Surgery Physician 2086S0129X 036125531 IL
Vascular Surgery Physician 2086S0129X 4301106309 MI
Vascular Surgery Physician 2086S0129X 40725 IA Primary

Addresses

Primary practice location

601 John St
Suite M-283a
Kalamazoo, MI 49007-5341

Mailing address

601 John St
Suite M-283a
Kalamazoo, MI 49007-5341
Phone (269) 349-7696

Other practice location 1

363 Fremont St Ste 101
Battle Creek, MI 49017-3395
Phone (269) 245-8350

Other identifiers 4

IdentifierTypeStateIssuer
201007480BMedicaidIN
036125531MedicaidIL
10026291800MedicaidNE
040113MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20140829001002 MI Practitioner - Vascular Surgery 2860687456 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians
Bronson Battle Creek HospitalGroup PAC ID 0547173478, 187 clinicians
Bronson Lakeview HospitalGroup PAC ID 9032008495, 72 clinicians
Bronson South Haven HospitalGroup PAC ID 6204724834, 38 clinicians

Practice addresses (Care Compare)

300 N Ave
Battle Creek, MI 49017-3307
Phone (888) 258-0875

363 Fremont St
Suite 101
Battle Creek, MI 49017-3395
Phone (269) 245-8350

451 Health Pkwy
Paw Paw, MI 49079-8242

451 Health Pkwy E
Bronson Lakeview Pediatrics
Paw Paw, MI 49079-8242
Phone (269) 655-3090

524 S Park St
Bronson Adv Med Clin
Kalamazoo, MI 49007-5118
Phone (269) 341-6056

601 John St
Kalamazoo, MI 49007-5341

601 John St
Kalamazoo, MI 49007-5377

601 John St
Suite 424
Kalamazoo, MI 49007-5354
Phone (269) 349-3350

955 S Bailey Ave
South Haven, MI 49090-6743
Phone (269) 639-2976

Hospital & facility affiliations

  • Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075
  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
  • Bronson Lakeview Hospital Hospital, Paw Paw, MI, CCN 231332
  • Bronson South Haven Hospital Hospital, South Haven, MI, CCN 230085

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

Merit-based Incentive Payment System (MIPS)

Final score
87.91 of 100Reported as group
Quality
83.03
Promoting interoperability
100
Improvement activities
40
Cost
76.65

Merit-based Incentive Payment System (MIPS)

Final score
81.25 of 100Reported as group
Quality
96.84
Promoting interoperability
100
Improvement activities
40
Cost
40.67

Merit-based Incentive Payment System (MIPS)

Final score
93.89 of 100Reported as group
Quality
95.63
Promoting interoperability
100
Improvement activities
40
Cost
84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)16
Removal of tissue38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT 181967PAMDSurgery Physician
036125531ILMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson South Haven Hospital CurrentSince May 1, 2020 Accepting new patients
Bronson South Haven Hospital CurrentSince May 1, 2020 Accepting new patients
Bronson Lakeview Hospital Surgery CurrentSince Feb 1, 2021 Accepting new patients
Bronson Lakeview Hospital CurrentSince Feb 1, 2021 Accepting new patients
Patholgy Services of Kalamazoo, PC Current Accepting new patients
Bronson Battle Creek Hospital Surgery CurrentSince Jan 1, 2018 Accepting new patients
Bronson Methodist Hospital CurrentSince Oct 1, 2014 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Jan 1, 2018 Accepting new patients
Cardiothoracic & Vascular Surgical Associates S C Vascular Surgery Past Accepting new patients
St Lukes Health Resources Surgery Past Accepting new patients

Locations

363 Fremont St
Ste 101
Battle Creek, MI 49017
Phone (269) 245-8350

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
Ste M-283
Kalamazoo, MI 49007
Phone (269) 349-7696

601 John St
Ste M-460
Kalamazoo, MI 49007
Phone (269) 341-7333

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

291 W Centre Ave
Portage, MI 49024
Phone (269) 488-8430

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

955 S Bailey Ave
South Haven, MI 49090
Phone (269) 637-5271

Interoperability endpoints

  • Direct secure messaging: wkang40697@direct.bronsonhg.org
  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 10

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 4

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1164612453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "SUITE M-283A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-349-7696",
            "fax_number": "269-488-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "SUITE M-283A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-349-7696",
            "fax_number": "269-488-8313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "363 Fremont St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490173395",
            "country_code": "US",
            "telephone_number": "269-245-8350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "WADE",
        "middle_name": "WEI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT 181967",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301106309",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036125531",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "4301106309",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IA",
            "license": "40725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201007480B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036125531",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026291800",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040113",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.