Active NPI
Kaidi Wang, M.D.
- Ophthalmology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD60952076
- Practice address
- 1100 9TH Ave
Seattle, WA 98101-2756 - Phone
- (206) 223-6840
- Fax
- (206) 223-6921
- NPI assigned
- Mar 25, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 131447 | CA | |
| Ophthalmology Physician | 207W00000X | MD60952076 | WA | Primary |
Addresses
Primary practice location
1100 9TH Ave
Seattle, WA 98101-2756
Mailing address
1100 9TH Ave
Seattle, WA 98101-2756
Phone (206) 223-6840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, UT, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170626002228 | CA | Practitioner - Ophthalmology | 7719256205 | Reassigns benefits to 1 organization |
| I20180601000503 | UT | Practitioner - Ophthalmology | 7719256205 | Reassigns benefits to 2 organizations |
| I20191017000057 | WA | Practitioner - Ophthalmology | 7719256205 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Harvard Medical School, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Virginia Mason Medical Center
Practice addresses (Care Compare)
1100 9TH Ave
Seattle, WA 98101-2756
Phone (206) 223-6600
Hospital & facility affiliations
- Virginia Mason Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 125 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131447 | CA | MD | Marriage & Family Therapist |
| MD60952076 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Mason Medical Center | Ophthalmology | Current | Accepting new patients |
| University of Utah | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Virginia Mason Medical Center | Ophthalmology | Current | Accepting new patients |
| University of California SFGH Medical Group | Ophthalmology | Current | Accepting new patients |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Virginia Mason Medical Center | Past | Accepting new patients | |
| Virginia Mason Medical Center | Past | Accepting new patients |
Locations
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
1001 Potrero Ave
Rm 3A
San Francisco, CA 94110
Phone (415) 206-4632
65 S Mario Capecchi Dr
Salt Lake City, UT 84132
Phone (801) 581-2352
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632
925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
4575 Sand Point Way NE
Ste 108
Seattle, WA 98105
Phone (206) 525-8000
1100 9th Ave
#C4
Seattle, WA 98101
Phone (206) 223-6840
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/66ad9a50-d7f7-4c21-b933-2ba90047388e/
Organizations & group practices 26
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.
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CA
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- NPI 1821711953
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- NPI 1700880291
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- NPI 1124176904
-
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- NPI 1174164297
-
- Durable Medical Equipment & Medical Supplies
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- NPI 1174662548
-
- Mobile Radiology Clinic/Center
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- NPI 1255577003
-
- Durable Medical Equipment & Medical Supplies
- Kirkland, WA
- NPI 1285772723
-
- Mobile Radiology Clinic/Center
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- NPI 1548406374
Hospital & facility affiliations 1
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": "1364169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1326380577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012756",
"telephone_number": "206-223-6840",
"fax_number": "206-223-6921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012756",
"telephone_number": "206-223-6840",
"fax_number": "206-223-6921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "KAIDI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-25",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "131447",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD60952076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 11, 2020; 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.