Individual provider Active NPI

Kevin Wang, MD

  • Vascular & Interventional Radiology Physician
  • Chapel Hill, NC
National Provider Identifier
1659075604
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
2024-02772 Issued in NC
Practice address
101 Manning Drive 4061 Burnett-Womack
Chapel Hill, NC 27599-7050
Phone
(919) 966-4653
NPI assigned
Mar 27, 2023
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Vascular & Interventional Radiology Physician 2085R0204X 2024-02772 NC Primary

Addresses

Primary practice location

101 Manning Drive 4061 Burnett-Womack
Chapel Hill, NC 27599-7050

Mailing address

101 Manning Drive 4061 Burnett-Womack
Chapel Hill, NC 27599-7050
Phone (919) 966-4653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230705000511 NC Order and Referring Only - General SurgeryPractitioner - General Surgery 9133588494

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024-02772NCMDVascular & Interventional Radiology Physician

Interoperability endpoints

  • Direct secure messaging: kwang1037698@direct.unc.nchie.net
  • Direct secure messaging: kwang462873@directhisp.wakemed.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1659075604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MANNING DRIVE 4061 BURNETT-WOMACK",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997050",
            "telephone_number": "919-966-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DRIVE 4061 BURNETT-WOMACK",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997050",
            "telephone_number": "919-966-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-27",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NC",
            "license": "2024-02772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.