Individual provider Active NPI

Shouwen Wang, M.D.

  • Nephrology Physician
  • Phoenix, AZ
National Provider Identifier
1700889326
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
32615 Issued in AZ
Practice address
3320 N 2ND St
Phoenix, AZ 85012-2319
Phone
(602) 200-8288
Fax
(602) 200-8549
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 32615 AZ Primary

Addresses

Primary practice location

3320 N 2ND St
Phoenix, AZ 85012-2319

Mailing address

6622 N 91St Ave
Ste 220
Glendale, AZ 85305-2569
Phone (602) 759-6883

Other identifiers 1

IdentifierTypeStateIssuer
847254MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040503000516 AZ Practitioner - NephrologyPractitioner - Internal Medicine 9638167406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner - University Super Specialists LLCGroup PAC ID 1850695255, 31 clinicians
Akdhc LLCGroup PAC ID 8123912136, 125 clinicians

Practice addresses (Care Compare)

1441 N 12TH St
FL 2
Phoenix, AZ 85006-2837
Phone (844) 242-4664

3320 N 2ND St
Phoenix, AZ 85012-2319
Phone (602) 200-8288

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
67.68
Promoting interoperability
100
Improvement activities
40
Cost
76.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Akdhc, LLC Nephrology Current Accepting new patients
Akdhc Surgery Center, LLC Nephrology Current Accepting new patients
Akdhc, LLC Nephrology CurrentSince Dec 1, 2009 Accepting new patients
Akdhc, LLC Nephrology Current Accepting new patients
Akdhc, LLC Nephrology CurrentSince Dec 1, 2009 Accepting new patients
City of Hope Medical Group of Arizona LLC Internal Medicine PastSince Nov 1, 2008 Accepting new patients
Northwest Tucson Dialysis LLC Past Accepting new patients
Akdhc,LLC Nephrology Past Accepting new patients
Banner - University Super Specialists LLC Past Accepting new patients
Akdhc, LLC Nephrology Past Accepting new patients

Locations (25 of 85)

10750 W McDowell Rd
Ste F600
Avondale, AZ 85392
Phone (623) 547-4668

525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498

213 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 233-1330

2580 Highway 95
Ste 224
Bullhead City, AZ 86442
Phone (928) 704-7011

2771 Silver Creek Rd
Ste 100
Bullhead City, AZ 86442
Phone (928) 704-7011

1225 Hancock Rd
Ste 203
Bullhead City, AZ 86442
Phone (928) 763-1200

2771 Silver Creek Rd
Ste 120
Bullhead City, AZ 86442
Phone (928) 763-7722

2121 E Pecos Rd
Ste 1
Chandler, AZ 85225
Phone (480) 846-0607

1120 S Dobson Rd
Ste 115
Chandler, AZ 85286
Phone (480) 857-2381

451 S Calvary Way
Cottonwood, AZ 86326
Phone (928) 649-7997

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

2201 N Vickey St
Ste 110
Flagstaff, AZ 86004
Phone (928) 213-9460

77 W Forest Ave
Ste 302
Flagstaff, AZ 86001
Phone (928) 213-9460

13620 N Saguaro Blvd
Ste 90
Fountain Hills, AZ 85268
Phone (480) 473-7800

1525 N Gilbert Rd
Ste 121
Gilbert, AZ 85234
Phone (480) 497-1127

18699 N 67th Ave
Ste 280
Glendale, AZ 85308
Phone (623) 240-4277

6622 N 91st Ave
Ste 100
Glendale, AZ 85305
Phone (623) 547-4668

6622 N 91st Ave
Ste 200
Glendale, AZ 85305
Phone (623) 547-4668

5750 W Thunderbird Rd
Ste F680
Glendale, AZ 85306
Phone (602) 843-7171

6622 N 91st Ave
Ste 220
Glendale, AZ 85305
Phone (602) 759-6883

5750 W Thunderbird Rd
Ste G790
Glendale, AZ 85306
Phone (602) 395-3354

13657 W McDowell Rd
Ste 210
Goodyear, AZ 85395
Phone (623) 243-6538

13657 W McDowell Rd
Ste 120
Goodyear, AZ 85395

1739 E Beverly Ave
Ste 216
Kingman, AZ 86409
Phone (928) 681-2772

2501 N Stockton Hill Rd
Ste 102
Kingman, AZ 86401
Phone (928) 681-2772

Interoperability endpoints

  • Direct secure messaging: shouwen.wang.1@11625.direct.athenahealth.com
  • Direct secure messaging: swang5261@direct.valleywisehealth.org

Organizations & group practices 10

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1700889326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 N 91ST AVE",
            "address_2": "STE 220",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052569",
            "telephone_number": "602-759-6883",
            "fax_number": "602-224-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N 2ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122319",
            "telephone_number": "602-200-8288",
            "fax_number": "602-200-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "SHOUWEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "32615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "847254",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.