KIM L WANG (M.D.) – Specialist, NPI 1174615215

KIM L WANG (M.D.) is a healthcare provider. based in Sacramento, California. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. A96087 (CA). The NPI Number for KIM L WANG (M.D.) is 1174615215

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
KIM L WANG (M.D.)
NPI
1174615215
Phone
(916) 447-6267
Address
3301 C ST
Enumeration Date
28 September 2006
Last Update Date
6 May 2009

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
9164460424
Graduation Year
2000 (26 years ago)
PAC ID
5193723633
Group Practice PAC ID
2860489218
Professional Enrollment ID
I20061117000248
Address ID
CA958163363SA3301XSTXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,584 PATHOLOGY in CA

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Provider Addresses for KIM L WANG (M.D.)

  • C Street, Elvas, Sacramento, Sacramento County, California, 95816, United States

    SUITE #200-E

    SACRAMENTO, CA 958163300

    Phone: (916) 447-6267

    Fax: (916) 447-0621

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-11-17

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
I20061117000248IPathologyCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity674324$0
88341Special stained specimen slides to examine tissue, each additional procedure15139$0
88342Special stained specimen slides to examine tissue, initial procedure10183$0
88360Microscopic genetic analysis of tumor, manual5418$0
88311Preparation of tissue for examination by removing any calcium present4544$0
View full utilization report →

Insurance plans in this area (ZIP 95816)

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Provider's Procedures

KIM L WANG (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYCA88304Pathology examination of tissue using a microscope, moderately low complexity2625
PATHOLOGYCA88342Tissue or cell analysis by immunologic technique6656

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: 2860489218View full group profile

Reviews

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Frequently asked questions

What federal number belongs to KIM L WANG (M.D.)?
The federal identifier for KIM L WANG (M.D.) is NPI 1174615215.
Is KIM L WANG (M.D.) currently active in the NPI registry?
CMS-published data lists KIM L WANG (M.D.) as an active registrant.
Does KIM L WANG (M.D.) list a primary specialty?
If you are matching referrals, note Other Service Providers for KIM L WANG (M.D.). Clinical services aligned with this taxonomy classification.
Does KIM L WANG (M.D.) practice in California?
You will see Sacramento, California on file for KIM L WANG (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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