Individual provider Active NPI

Jingkun Wang, MD

  • Surgery Physician
  • Lexington, KY
National Provider Identifier
1407387731
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
56881 Issued in KY
Practice address
University of Kentucky
Lexington, KY 40506
Phone
(859) 323-6162
NPI assigned
Mar 27, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 56881 KY Primary

Addresses

Primary practice location

University of Kentucky
Lexington, KY 40506

Mailing address

800 Rose St # C-246
Lexington, KY 40536-0293
Phone (859) 323-6162

Other practice location 1

300 S 8th St Ste 401E
Murray, KY 42071-2444
Phone (270) 753-2444

Other practice location 2

800 Rose St # C-246
Lexington, KY 40536-0293
Phone (859) 323-6162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20220803001868 KY Practitioner - General Surgery 9739431503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kentucky College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

803 Poplar St
Murray, KY 42071-2432
Phone (270) 762-1597

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.99 of 100Reported as group
Quality
73.34
Promoting interoperability
100
Improvement activities
40
Cost
73.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Physician Practices LLC CurrentSince Aug 1, 2022 Accepting new patients
Murray-Calloway County Public Hospital Corporation CurrentSince Aug 1, 2023 Accepting new patients
Lake Cumberland Physician Practices LLC Surgery CurrentSince Aug 1, 2022 Accepting new patients
Lake Cumberland Physician Practices, LLC Current Accepting new patients
Murray-Calloway County Public Hospital Corporation Surgery CurrentSince Aug 1, 2023 Accepting new patients

Locations

300 S 8th St
Ste 480W
Murray, KY 42071
Phone (270) 762-1104

300 S 8th St
Ste 401E
Murray, KY 42071
Phone (270) 753-2444

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

30 Tower Cir
Somerset, KY 42503
Phone (606) 451-8644

26 Oxford Way
Ste B
Somerset, KY 42503
Phone (606) 425-4298

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: jwang16544@ukhcdirect.org
  • Direct secure messaging: jingkun.wang.1@9266.direct.athenahealth.com

Organizations & group practices 5

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 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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1407387731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST # C-246",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360293",
            "telephone_number": "859-323-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF KENTUCKY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40506",
            "telephone_number": "859-323-6162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S 8th St Ste 401E",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "KY",
            "postal_code": "420712444",
            "country_code": "US",
            "telephone_number": "270-753-2444",
            "fax_number": "270-752-2865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Rose St # C-246",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360293",
            "country_code": "US",
            "telephone_number": "859-323-6162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "JINGKUN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "56881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.