Individual provider Active NPI

Kathleen Y Wang, MD

  • Allergy & Immunology Physician
  • Raleigh, NC
National Provider Identifier
1386089902
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MT210335 Issued in PA
Practice address
2801 Blue Ridge Road
Allergy and Immunology, Ground Floor
Raleigh, NC 27607
Phone
(984) 974-0500
NPI assigned
May 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MT210335 PA Primary

Addresses

Primary practice location

2801 Blue Ridge Road
Allergy and Immunology, Ground Floor
Raleigh, NC 27607

Mailing address

2801 Blue Ridge Road
Allergy and Immunology, Ground Floor
Raleigh, NC 27607

Other practice location 1

3401 Civic Center Blvd
Division of Allergy and Immunology
Philadelphia, PA 19104-4319
Phone (215) 590-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kathleen_wang@med.unc.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190812000804 NC Practitioner - Pediatric Medicine 9931464096 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT210335PAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Jul 8, 2019 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Jul 8, 2019 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

6013 Farrington Rd
Ste 201
Chapel Hill, NC 27517
Phone (984) 974-1401

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

211 Friday Center Dr
Ste 2057
Chapel Hill, NC 27517
Phone (984) 974-1281

2801 Blue Ridge Rd
Raleigh, NC 27607
Phone (984) 215-6435

Interoperability endpoints

  • Direct secure messaging: kwang531422@direct.unc.nchie.net

Organizations & group practices 3

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": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1386089902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BLUE RIDGE ROAD",
            "address_2": "ALLERGY AND IMMUNOLOGY, GROUND FLOOR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BLUE RIDGE ROAD",
            "address_2": "ALLERGY AND IMMUNOLOGY, GROUND FLOOR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27607",
            "telephone_number": "984-974-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Civic Center Blvd",
            "address_2": "Division of Allergy and Immunology",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044319",
            "country_code": "US",
            "telephone_number": "215-590-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "KATHLEEN",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PA",
            "license": "MT210335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathleen_wang@med.unc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2801 Blue Ridge Road",
            "address_2": "Allergy and Immunology, Ground Floor",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.