Individual provider Active NPI

Kelly H Wun, MD

  • Orthopaedic Hand Surgery Physician
  • Burbank, CA
National Provider Identifier
1992196661
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
A202092 Issued in CA
Practice address
2625 W Alameda Ave Ste 116
Burbank, CA 91505-4815
Phone
(818) 901-6600
NPI assigned
Feb 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 1018153 MA
Orthopaedic Surgery Physician 207X00000X 125074451 IL
Orthopaedic Hand Surgery Physician 207XS0106X A202092 CA Primary
Orthopaedic Surgery Physician 207X00000X A202092 CA

Addresses

Primary practice location

2625 W Alameda Ave Ste 116
Burbank, CA 91505-4815

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

420 E Superior St Ste 9-900
Chicago, IL 60611-4494
Phone (312) 926-4444

Other practice location 2

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5384

Other practice location 3

55 Fruit St
Boston, MA 02114-2696
Phone (617) 726-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240808002079 MA Practitioner - Orthopedic Surgery 4981938818 Reassigns benefits to 3 organizations
I20250717004286 CA Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 4981938818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Northwestern University Feinberg Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 0547490534, 135 clinicians

Practice addresses (Care Compare)

100 UCLA Medical PLZ
Suite 460
Los Angeles, CA 90024-7000
Phone (310) 443-8999

24051 Newhall Ranch Rd
BLDG C
Valencia, CA 91355-5702
Phone (661) 254-6364

2625 W Alameda Ave
Suite 116
Burbank, CA 91505-4815
Phone (818) 901-6600

Hospital & facility affiliations

  • Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125074451ILMDOrthopaedic Surgery Physician
1018153MAMDOrthopaedic Surgery Physician
A202092CAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital Corp Current Accepting new patients
Regents of the University of California CurrentSince Sep 1, 2025 Accepting new patients
The General Hospital Corporation CurrentSince Jul 29, 2024 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Orthopaedic Surgery CurrentSince Sep 1, 2025 Accepting new patients
Massachusetts General Physicians Organization Inc Orthopaedic Surgery CurrentSince Jul 29, 2024 Accepting new patients
Brigham & Womens Physicians Organization Inc Orthopaedic Surgery CurrentSince Jul 29, 2024 Accepting new patients

Locations

2625 W Alameda Ave
Ste 116
Burbank, CA 91505
Phone (818) 579-2370

100 UCLA Medical Plz
Ste 460
Los Angeles, CA 90024
Phone (310) 443-8999

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

2655 1st St
Ste 300
Simi Valley, CA 93065
Phone (805) 578-8550

24051 Newhall Ranch Rd
Valencia, CA 91355
Phone (661) 254-6364

6815 Noble Ave
Van Nuys, CA 91405
Phone (818) 901-6690

55 Fruit St
#3550
Boston, MA 02114
Phone (617) 724-2823

75 Francis St
Boston, MA 02115

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

62 13th St
Charlestown, MA 02129
Phone (617) 724-4260

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kwun1454985@direct.uclahealth.org
  • Direct secure messaging: wun.kelly.mgh@direct.partners.masshiway.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1992196661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE STE 116",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054815",
            "telephone_number": "818-901-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 E Superior St Ste 9-900",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606114494",
            "country_code": "US",
            "telephone_number": "312-926-4444",
            "fax_number": "312-926-4643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Francis St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156110",
            "country_code": "US",
            "telephone_number": "617-732-5384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142696",
            "country_code": "US",
            "telephone_number": "617-726-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUN",
        "first_name": "KELLY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-16",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "1018153",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "125074451",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A202092",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A202092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.