Active NPI
Amy Wan-Ju Kao, M.D.
- Diagnostic Radiology Physician
- San Bruno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A112376
- Practice address
- 1001 Sneath LN Ste 310
San Bruno, CA 94066-2349 - Phone
- (650) 615-6051
- Fax
- (650) 615-6066
- NPI assigned
- Apr 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A112376 | CA | Primary |
Addresses
Primary practice location
1001 Sneath LN Ste 310
San Bruno, CA 94066-2349
Mailing address
1001 Sneath LN Ste 310
San Bruno, CA 94066-2349
Phone (650) 615-6051
Other practice location 1
13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (855) 674-4624 ext. 44624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NC, FL, OH, TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100825000899 | CA | Practitioner - Diagnostic Radiology | 3971627142 | Reassigns benefits to 1 organization |
| I20250929000764 | NC | Practitioner - Diagnostic Radiology | 3971627142 | Reassigns benefits to 1 organization |
| I20251022005100 | FL | Practitioner - Diagnostic Radiology | 3971627142 | Reassigns benefits to 1 organization |
| I20251104003366 | OH | Practitioner - Diagnostic Radiology | 3971627142 | Reassigns benefits to 1 organization |
| I20260211003288 | TX | Practitioner - Diagnostic Radiology | 3971627142 | Reassigns benefits to 10 organizations |
| I20260217003867 | OK | Practitioner - Diagnostic Radiology | 3971627142 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Ohio State University College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Choctaw Nation of OklahomaCherokee NationPawnee Indian Health CenterWilmington Health PLLCMillennium Physician Group LLCLawton Indian HospitalCreek Nation Hospital and ClinicsEl Reno Indian Health CenterBeacon Orthopaedics and Sports Medicine LTDDiagnostic Imaging Associates Inc
Practice addresses (Care Compare)
1 Choctaw Way
Talihina, OK 74571-2022
Phone (539) 316-6391
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100
101 S Moore Ave
Claremore, OK 74017-5047
Phone (539) 234-1000
1201 Heritage Cir
Pawnee, OK 74058-3744
Phone (918) 762-2517
1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540
13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343
1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone (580) 354-5000
1800 E Coplin St
Creek Nation Community Hospital
Okemah, OK 74859-4642
Phone (918) 623-1424
1801 Chukka Hina
Durant, OK 74701-7117
Phone (539) 316-6391
1801 Parkview Dr
El Reno, OK 73036-2103
Phone (405) 234-5600
5060 Bradenton Ave
Suite B
Dublin, OH 43017-3511
Phone (614) 505-8890
710 S Golden W Ave
Arcadia, CA 91007-6449
Phone (918) 935-3550
One Choctaw Way
Talihina, OK 74571-2022
Hospital & facility affiliations
- Saint Francis Hospital Muskogee
- Cherokee Nation W W Hastings Indian Hospital
- SSM Health St Anthony Hospital - Shawnee
- Great Plains Regional Medical Center
- Northeastern Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A112376 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmington Health PLLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Diagnostic Imaging Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Beacon Orthopaedics & Sports Medicine, LTD | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Beacon Orthopaedics & Sports Medicine LTD | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Wilmington ASC LLC | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
13813 Metro Pkwy
Fort Myers, FL 33912
Phone (239) 936-1343
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705
6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827
311 S 15th St
Ste 205
Coshocton, OH 43812
Phone (740) 622-5060
5060 Bradenton Ave
Ste B
Dublin, OH 43017
Phone (609) 969-8562
2750 Newark Granville Rd
Granville, OH 43023
Phone (740) 788-9220
1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
Dept 1467
Tulsa, OK 74182
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Interoperability endpoints
- amy.kao.p1@direct.wilmingtonhealth.nextgenshare.com
- amy.kao.p1@direct.beaconortho.nextgenshare.com
Organizations & group practices 52
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.
-
- Diagnostic Radiology Physician
- Tulsa, OK
- NPI 1427049956
CA, Diagnostic Radiology
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Broken Bow, OK
- NPI 1447143532
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Addiction (Substance Use Disorder) Counselor
- Tahlequah, OK
- NPI 1689338519
Hospital
-
- General Acute Care Hospital
- Muskogee, OK
- NPI 1386188837
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1891968384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SNEATH LN STE 310",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940662349",
"telephone_number": "650-615-6051",
"fax_number": "650-615-6066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SNEATH LN STE 310",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940662349",
"telephone_number": "650-615-6051",
"fax_number": "650-615-6066"
}
],
"practiceLocations": [
{
"address_1": "13813 METRO PKWY",
"address_purpose": "LOCATION",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124343",
"country_code": "US",
"telephone_number": "855-674-4624 x44624",
"fax_number": "941-883-8386",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAO",
"first_name": "AMY",
"middle_name": "WAN-JU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-07",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A112376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bruno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.