Xiaoying Wan, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

01055964A Issued in IN

Practice address

2200 Randallia Dr
Ft Wayne, IN 46805-4638

Phone

(800) 899-5757

NPI assigned

Nov 29, 2005

Last updated

May 3, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Pathology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allied Hospital Pathologists PCGroup PAC ID 4789649526, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
• Parkview Huntington Hospital Hospital, Huntington, IN, CCN 150091
• Parkview Whitley Hospital Hospital, Columbia City, IN, CCN 150101
• Parkview Noble Hospital Hospital, Kendallville, IN, CCN 150146
• Community Hospitals and Wellness Centers Hospital, Bryan, OH, CCN 360121

Merit-based Incentive Payment System (MIPS)

Final score

96.46 of 100Reported as group

Quality

92.91

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Allied Hospital Pathologists, P.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fort Wayne, IN
  • NPI 1831175389
  Medicare reassignment Care Compare group
• Fort Wayne Medical Laboratory Corporation

  • Medical Laboratory Technician
  • Fort Wayne, IN
  • NPI 1285610733

  Anatomic Pathology & Clinical Pathology

  NPD

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

• Community Hospital of Noble County, Inc.

  dba Parkview Noble Hospital

  • General Acute Care Hospital
  • Kendallville, IN
  • NPI 1457366189
  Care Compare affiliation
• Huntington Memorial Hospital, Inc.

  dba Parkview Huntington Hospital

  • General Acute Care Hospital
  • Huntington, IN
  • NPI 1003821729
  Care Compare affiliation
• Parkview Hospital, Inc.

  dba Parkview Regional Medical Center

  • General Acute Care Hospital
  • Fort Wayne, IN
  • NPI 1366407603
  Care Compare affiliation
• Whitley Memorial Hospital, Inc.

  dba Parkview Whitley Hospital

  • General Acute Care Hospital
  • Columbia City, IN
  • NPI 1205844495
  Care Compare affiliation
• Whitley Memorial Hospital, Inc.

  dba Parkview Whitley Hospital

  • Land Ambulance
  • Columbia City, IN
  • NPI 1497764450

  Hospital

  Care Compare affiliation
• Community Hospitals and Wellness Centers

  • General Acute Care Hospital
  • Bryan, OH
  • NPI 1962458521
  Care Compare affiliation

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1811971369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2458 LAKE AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055406",
            "telephone_number": "260-424-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 RANDALLIA DR",
            "city": "FT WAYNE",
            "state": "IN",
            "postal_code": "468054638",
            "telephone_number": "800-899-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAN",
        "first_name": "XIAOYING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01055964A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200381250",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica L Walworth, MS LMFT CEDS RDN LD
• Christina J Walz, M.D.
• Duane M Wampler, PA-C
• Meagan Wampler, DPT
• Nkechi A Wan, DDS
• David R Wang, DO, MPH
• Jun Wang, M.D.
• Qi Wang, M.D.
• Steven Wang, MD
• Jennifer Wanner

• Anatomic Pathology & Clinical Pathology Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.