Active NPI
Ke Wang, M.D.
- Nephrology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD60572498
- Practice address
- 410 9TH Ave N
Seattle, WA 98109-4708 - Phone
- (206) 744-8998
- NPI assigned
- Apr 23, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD60572498 | WA | Primary |
Addresses
Primary practice location
410 9TH Ave N
Seattle, WA 98109-4708
Mailing address
410 9TH Ave N FL 7
Seattle, WA 98109-4708
Other practice location 1
801 Massachusetts Ave
Crosstown 2
Boston, MA 02118-2605
Phone (617) 414-4376
Other practice location 2
201 16th Ave E
Seattle, WA 98112-5226
Phone (206) 326-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265723381 | Medicaid | WA | |
| 8967125 | Other | WA | MEDICARE PIN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170706001506 | WA | Practitioner - Nephrology | 8921230939 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- New York University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kaiser Foundation Health Plan of Washington
Practice addresses (Care Compare)
201 16TH Ave E
Seattle, WA 98112-5226
Phone (206) 326-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60572498 | WA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients |
Locations
201 16th Ave E
Seattle, WA 98112
Phone (206) 326-4545
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- kwang241745@ghc.direct-ci.net
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
WA
-
- Clinical Medical Laboratory
- Renton, WA
- NPI 1285805119
-
- Community Based Hospice Care Agency
- Seattle, WA
- NPI 1437289576
-
- Home Health Agency
- Seattle, WA
- NPI 1528198660
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1861522088
-
- Ambulatory Surgical Clinic/Center
- Bellevue, WA
- NPI 1972774180
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1265723381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 9TH AVE N FL 7",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981094708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 9TH AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981094708",
"telephone_number": "206-744-8998"
}
],
"practiceLocations": [
{
"address_1": "801 Massachusetts Ave",
"address_2": "Crosstown 2",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182605",
"country_code": "US",
"telephone_number": "617-414-4376",
"fax_number": "617-414-4676",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 16th Ave E",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981125226",
"country_code": "US",
"telephone_number": "206-326-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "KE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-23",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WA",
"license": "MD60572498",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265723381",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "8967125",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "201 16th Ave E",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981125226",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.