Active NPI
Kevin Wang, DO
- Critical Care Medicine (Internal Medicine) Physician
- Quincy, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 036175383
- Practice address
- 1005 Broadway St
Quincy, IL 62301-2834 - Phone
- (217) 223-1200
- NPI assigned
- Mar 26, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2019021744 | MO | |
| Internal Medicine Physician | 207R00000X | 2022004128 | MO | |
| Internal Medicine Physician | 207R00000X | 5101027375 | MI | |
| Pediatrics Physician | 208000000X | 2019021744 | MO | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036175383 | IL | Primary |
Addresses
Primary practice location
1005 Broadway St
Quincy, IL 62301-2834
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-1200
Other practice location 1
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
Other practice location 2
10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5000
Other practice location 3
2101 Charlotte St Ste 200
Kansas City, MO 64108-2727
Phone (816) 404-4200
Other practice location 4
1000 E 24th St
Kansas City, MO 64108-2776
Phone (816) 512-7439
Other practice location 5
300 W 19th Ter
Kansas City, MO 64108-2026
Phone (816) 404-5709
Other practice location 6
2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1000
Other practice location 7
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-4862
Other practice location 8
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-2107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 85.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022004128 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients |
Locations
1005 Broadway St
Quincy, IL 62301
238 S Congress St
Rushville, IL 62681
Phone (217) 322-4321
2305 Georgia St
Louisiana, MO 63353
Phone (573) 754-4584
Interoperability endpoints
- https://fhir.blessinghospital.com/R4/open-Prod
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Quincy, IL
- NPI 1235656745
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
-
- Critical Access Hospital
- Rushville, IL
- NPI 1013969112
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
MO
-
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1902367766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 BROADWAY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012834",
"telephone_number": "217-223-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 BROADWAY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012834",
"telephone_number": "217-223-1200"
}
],
"practiceLocations": [
{
"address_1": "2799 W Grand Blvd",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482022608",
"country_code": "US",
"telephone_number": "313-916-2600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10000 Telegraph Rd",
"address_purpose": "LOCATION",
"city": "Taylor",
"state": "MI",
"postal_code": "481803330",
"country_code": "US",
"telephone_number": "313-295-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2101 Charlotte St Ste 200",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641082727",
"country_code": "US",
"telephone_number": "816-404-4200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 E 24th St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641082776",
"country_code": "US",
"telephone_number": "816-512-7439",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 W 19th Ter",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641082026",
"country_code": "US",
"telephone_number": "816-404-5709",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2301 Holmes St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641082640",
"country_code": "US",
"telephone_number": "816-404-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7900 Lees Summit Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641391236",
"country_code": "US",
"telephone_number": "816-404-4862",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4401 Wornall Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641113220",
"country_code": "US",
"telephone_number": "816-932-2107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "KEVIN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-26",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2019021744",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2022004128",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101027375",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2019021744",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036175383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.