Individual provider Active NPI

Wayne W Kuang, MD

  • Urology Physician
  • Albuquerque, NM
National Provider Identifier
1720043151
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD2006-0203 Issued in NM
Practice address
8300 Carmel Ave NE
Ste 303
Albuquerque, NM 87122-3147
Phone
(505) 433-4665
Fax
(888) 972-9218
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD2006-0203 NM Primary

Addresses

Primary practice location

8300 Carmel Ave NE
Ste 303
Albuquerque, NM 87122-3147

Mailing address

8300 Carmel Ave NE Ste 303
Albuquerque, NM 87122-3147
Phone (505) 433-4665

Other identifiers 2

IdentifierTypeStateIssuer
P00364571OtherNMRAILROAD MEDICARE
42172071MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20060811000342 NM Practitioner - UrologyPractitioner - Endocrinology 2062457187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: Endocrinology
Education
Stanford University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8300 Carmel Ave NE
Suite 303
Albuquerque, NM 87122-3147
Phone (505) 433-4665

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MD for Men, LLC Urology CurrentSince May 1, 2014 Accepting new patients
Unm Medical Group Inc Past Accepting new patients

Locations

8300 Carmel Ave NE
Ste 303
Albuquerque, NM 87122
Phone (505) 433-4665

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1720043151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 CARMEL AVE NE STE 303",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223147",
            "telephone_number": "505-433-4665",
            "fax_number": "888-972-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 CARMEL AVE NE",
            "address_2": "STE 303",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223147",
            "telephone_number": "505-433-4665",
            "fax_number": "888-972-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUANG",
        "first_name": "WAYNE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NM",
            "license": "MD2006-0203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00364571",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42172071",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.