CHEN WANG (M. D.) – Family Medicine Physician, NPI 1164715512

CHEN WANG (M. D.) is a healthcare provider. based in Little rock, Arkansas. specializing in Family Medicine Physician. They hold the professional credentials M. D.. They hold a License No. E-9984 (AR). The NPI Number for CHEN WANG (M. D.) is 1164715512

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
CHEN WANG (M. D.)
NPI
1164715512
Phone
(501) 552-3000
Address
2 SAINT VINCENT CIR
Enumeration Date
18 May 2011
Last Update Date
23 August 2016

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
5017537931
Graduation Year
2011 (15 years ago)
PAC ID
0143518837
Group Practice PAC ID
7012132293
Professional Enrollment ID
I20161012002392
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for CHEN WANG (M. D.)

  • 2 SAINT VINCENT CIR

    LITTLE ROCK, AR 722055423

    Phone: (501) 552-3000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2023-04-20 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($44).

Total Amount

$66

General + Research + Ownership

Payments

4

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-10-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161012002392IFamily PracticeARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012132293View full group profile

Reviews

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Frequently asked questions

Is there an official ID for CHEN WANG (M. D.) in U.S. healthcare records?
The official identifier for CHEN WANG (M. D.) is NPI 1164715512.
Is there an active status for CHEN WANG (M. D.)?
For scheduling context, CHEN WANG (M. D.) is shown as active in the registry.
How would a patient describe CHEN WANG (M. D.)'s focus?
For CHEN WANG (M. D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is CHEN WANG (M. D.) located near Little Rock?
CHEN WANG (M. D.) currently maps to Little Rock, Arkansas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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