Individual provider Active NPI

Fen Wang, M.D.

  • Radiation Oncology Physician
  • Kansas City, KS
National Provider Identifier
1598830176
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
04-29788 Issued in KS
Practice address
3901 Rainbow Blvd
Mail Stop 4033
Kansas City, KS 66160-0001
Phone
(913) 588-3644
Fax
(913) 588-3663
NPI assigned
Nov 21, 2006
Last updated
Feb 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 04-29788 KS Primary

Addresses

Primary practice location

3901 Rainbow Blvd
Mail Stop 4033
Kansas City, KS 66160-0001

Mailing address

PO Box 411851
Kansas City, MO 64141-1851
Phone (913) 588-3644

Other identifiers 4

IdentifierTypeStateIssuer
31416011OtherBCBS KANSAS CITY
100421420AMedicaidKS
100421420DMedicaidKS
205924301MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100805000943 KS Practitioner - Radiation Oncology 3173656584 Reassigns benefits to 2 organizations
I20161018001452 MO Practitioner - Radiation Oncology 3173656584 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, shared by 4 NPIs, 1,809 clinicians
Topeka Physician Group LLCGroup PAC ID 6406112473, 149 clinicians

Practice addresses (Care Compare)

11300 Corporate Ave
Suite 342
Lenexa, KS 66219-1368

12200 W 110TH St
Overland Park, KS 66210-4045
Phone (913) 588-1227

1700 SW 7TH St
FL 2
Topeka, KS 66606-2489
Phone (785) 295-7800

20333 W 151St St
Olathe, KS 66061-5350
Phone (913) 588-1227

20375 W 151St St
Olathe, KS 66160-0001
Phone (913) 588-1227

2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone (913) 588-1227

2790 Clay Edwards Dr
Suite 405
North Kansas City, MO 64116-3274
Phone (913) 588-1227

3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-7775

3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7013

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

4000 Cambridge St
Kansas City, KS 66160-8500

4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227

4881 NE Goodview Cir
Lees Summit, MO 64064-1996
Phone (913) 588-1227

8700 N Green Hiils Rd
Kansas City, MO 64154-1910
Phone (913) 588-1227

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-29788KSMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc CurrentSince Aug 12, 2002 Accepting new patients
Kansas University Physicians Inc Radiation Oncology CurrentSince Aug 12, 2002 Accepting new patients
Topeka Physician Group, LLC CurrentSince Apr 1, 2021 Accepting new patients
Topeka Physician Group, LLC CurrentSince Apr 1, 2021 Accepting new patients
University of Kansas Hospital Authority CurrentSince Jun 28, 2011 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc Radiation Oncology Current Accepting new patients
University of Kansas Hospital Authority CurrentSince Jun 28, 2011 Accepting new patients

Locations

4001 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 574-0406

3901 Rainbow Blvd
Stop 4033
Kansas City, KS 66160
Phone (913) 588-3600

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

1700 SW 7th St
Fl 2
Topeka, KS 66606
Phone (785) 295-7800

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

8700 N Green Hills Rd
Kansas City, MO 64154
Phone (816) 746-4570

1000 E 101st Ter
Kansas City, MO 64131
Phone (816) 333-1326

2790 Clay Edwards Dr
Ste 405
North Kansas City, MO 64116
Phone (913) 588-3117

Interoperability endpoints

  • Direct secure messaging: fwang3330@direct.kuha.org
  • Direct secure messaging: fwang457874@ahs.direct-ci.com

Organizations & group practices 8

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 5

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1598830176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411851",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641411851",
            "telephone_number": "913-588-3644",
            "fax_number": "913-588-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "address_2": "MAIL STOP 4033",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-3644",
            "fax_number": "913-588-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "FEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KS",
            "license": "04-29788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY",
            "identifier": "31416011",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100421420A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100421420D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205924301",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.