Individual provider Active NPI

Kevin Chao Wang, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Hialeah, FL
National Provider Identifier
1467844571
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
ME169420 Issued in FL
Practice address
6050 W 20TH Ave
Hialeah, FL 33016-2605
Phone
(786) 584-5555
Fax
(786) 584-5050
NPI assigned
Feb 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME169420 FL Primary

Addresses

Primary practice location

6050 W 20TH Ave
Hialeah, FL 33016-2605

Mailing address

862 W Newport Ave
Unit 3
Chicago, IL 60657-2384
Phone (317) 490-5974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241115000287 FL Practitioner - Orthopedic Surgery 8426396516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians
Physician Practices of MSMC LLCGroup PAC ID 9436336120, 180 clinicians

Practice addresses (Care Compare)

13645 Biscayne Blvd
North Miami Beach, FL 33181-1617
Phone (305) 949-2700

6050 W 20TH Ave
FL 3
Hialeah, FL 33016-2605
Phone (786) 584-5555

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME169420FLMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practices of MSMC, LLC CurrentSince Oct 15, 2024 Accepting new patients

Locations

6050 W 20th Ave
Fl 3
Hialeah, FL 33016
Phone (786) 584-5000

6050 W 20th Ave
Hialeah, FL 33016
Phone (786) 584-5000

4302 Alton Rd
Ste 300
Miami Beach, FL 33140
Phone (305) 672-9989

4302 Alton Rd
Ste 220
Miami Beach, FL 33140
Phone (305) 532-6006

4306 Alton Rd
Fl 2
Miami Beach, FL 33140
Phone (305) 535-3349

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/

Organizations & group practices 1

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": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1467844571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 W NEWPORT AVE",
            "address_2": "UNIT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572384",
            "telephone_number": "317-490-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162605",
            "telephone_number": "786-584-5555",
            "fax_number": "786-584-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "KEVIN",
        "middle_name": "CHAO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-26",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME169420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.