Individual provider Active NPI

Chung Wang, MD

  • Anesthesiology Physician
  • Goodyear, AZ
National Provider Identifier
1881981447
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
50856 Issued in AZ
Practice address
13677 W McDowell Rd
Goodyear, AZ 85395
Phone
(623) 882-1500
NPI assigned
Jul 5, 2011
Last updated
May 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2024007991 MO
Anesthesiology Physician 207L00000X 50856 AZ Primary

Addresses

Primary practice location

13677 W McDowell Rd
Goodyear, AZ 85395

Mailing address

295 E Roosevelt St Apt 322
Phoenix, AZ 85004-2095
Phone (216) 280-9413

Other practice location 1

375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 862-1400

Other practice location 2

2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IL, MO, NV4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20150909003144 AZ Practitioner - Anesthesiology 4789991613 Reassigns benefits to 2 organizations
I20240419001241 IL Practitioner - Anesthesiology 4789991613 Reassigns benefits to 1 organization
I20250522001201 MO Practitioner - Anesthesiology 4789991613 Reassigns benefits to 1 organization
I20250716003858 NV Practitioner - Anesthesiology 4789991613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Cincinnati College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Anesthesiology Consultants IncGroup PAC ID 4880591841, 284 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

1500 S Dobson Rd
Suite 101
Mesa, AZ 85202-4722
Phone (480) 412-3577

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 865-5555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50856AZMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Mar 10, 2024 Accepting new patients
Valley Anesthesiology Consultants, Inc. Anesthesiology CurrentSince Nov 19, 2018 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jun 10, 2025 Accepting new patients
Fielden Hanson Isaacs Miyada Robison Yeh LTD Anesthesiology CurrentSince Jul 11, 2025 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jun 10, 2025 Accepting new patients
Capital Anesthesia Solutions of Missouri LLC Anesthesiology CurrentSince Mar 8, 2025 Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

7300 N 99th Ave
Glendale, AZ 85307
Phone (480) 339-5001

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

140 N Litchfield Rd
Ste 110
Goodyear, AZ 85338
Phone (602) 385-0432

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

4444 N 32nd St
Ste 220
Phoenix, AZ 85018
Phone (602) 747-7026

645 E Missouri Ave
Ste 300
Phoenix, AZ 85012
Phone (602) 262-8917

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 776-3185

Organizations & group practices 6

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 2

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": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1881981447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 E ROOSEVELT ST APT 322",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042095",
            "telephone_number": "216-280-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13677 W MCDOWELL RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-882-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Dixmyth Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452202475",
            "country_code": "US",
            "telephone_number": "513-862-1400",
            "fax_number": "513-862-4980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2316 E Meyer Blvd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641321136",
            "country_code": "US",
            "telephone_number": "816-276-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "CHUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2024007991",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "50856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.