Individual provider Active NPI

Kai Wang

  • Anatomic Pathology & Clinical Pathology Physician
  • Tomball, TX
National Provider Identifier
1548656101
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
T1598 Issued in TX
Practice address
605 Holderrieth Blvd
Tomball, TX 77375-6445
Phone
(281) 401-7617
Fax
(281) 255-3431
NPI assigned
Apr 10, 2015
Last updated
May 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X T1598 TX Primary

Addresses

Primary practice location

605 Holderrieth Blvd
Tomball, TX 77375-6445

Mailing address

PO Box 746559
Atlanta, GA 30374-6559
Phone (281) 401-7617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210603000672 TX Practitioner - Pathology 3375863509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Alabama School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6565 Fannin St
Stop 205
Houston, TX 77030-2703
Phone (713) 394-6450

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T1598TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Pathology Associates PLLC Anatomic Pathology & Clinical Pathology CurrentSince May 1, 2025 Accepting new patients
Pathlink of Texas, PLLC Anatomic Pathology & Clinical Pathology CurrentSince May 15, 2021 Accepting new patients
Methodist Pathology Associates PLLC Anatomic Pathology & Clinical Pathology CurrentSince May 1, 2025 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

5700 Southwyck Blvd
Toledo, OH 43614

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

6565 Fannin St
Stop 205
Houston, TX 77030
Phone (713) 394-6450

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1548656101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746559",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746559",
            "telephone_number": "281-401-7617",
            "fax_number": "281-255-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HOLDERRIETH BLVD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756445",
            "telephone_number": "281-401-7617",
            "fax_number": "281-255-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "KAI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "T1598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.