KENNY KA-SHING WU (M.D.) – Emergency Medicine Physician, NPI 1336408707

KENNY KA-SHING WU (M.D.) is a healthcare provider. based in San gabriel, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. A127627 (CA). The NPI Number for KENNY KA-SHING WU (M.D.) is 1336408707

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
KENNY KA-SHING WU (M.D.)
NPI
1336408707
Phone
(626) 382-9375
Address
9105 ARDENDALE AVE
Enumeration Date
4 May 2012
Last Update Date
3 February 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
6615874777
Graduation Year
2012 (14 years ago)
PAC ID
4789904319
Group Practice PAC ID
7911287909
Professional Enrollment ID
I20150522000612
Address ID
CA933133480BA4821XLNXX301

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

5,791 EMERGENCY MEDICINE in CA

Provider Addresses for KENNY KA-SHING WU (M.D.)

  • 9105 ARDENDALE AVE

    SAN GABRIEL, CA 917752003

    Phone: (626) 382-9375

    Type: Mailing

  • 11234 ANDERSON ST

    GME OFFICE CSP 21005

    LOMA LINDA, CA 923542804

    Phone: (909) 558-4085

    Type: Location

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 $76.

Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: ABBVIE INC. ($76).

Total Amount

$76

General + Research + Ownership

Payments

4

Total payment records

General Amount

$76

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$76
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: 2015-05-22

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
I20150522000612IEmergency MedicineCATBD

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
99285Emergency department visit with high level of medical decision making146143$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only120116$0
99284Emergency department visit with moderate level of medical decision making4544$0
99291Critical care, first 30-74 minutes4141$0
View full utilization report →

Insurance plans in this area (ZIP 91775)

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Provider's Procedures

KENNY KA-SHING WU (M.D.) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINECA71010X-ray of chest, 1 view, front7777

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: 7911287909View full group profile
NameSpecialtyState
Nurse PractitionerCA
-TN
Physician AssistantCA
Nurse PractitionerCA
Physician AssistantCA
Emergency MedicineFL
-CA
Physician AssistantCA
Emergency MedicineCA
-CA

Reviews

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Frequently asked questions

Is KENNY KA-SHING WU (M.D.) listed with a National Provider Identifier?
Yes — KENNY KA-SHING WU (M.D.) has NPI 1336408707 on file in the registry.
Would KENNY KA-SHING WU (M.D.) appear as active to a payer?
You can treat KENNY KA-SHING WU (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to KENNY KA-SHING WU (M.D.)?
KENNY KA-SHING WU (M.D.)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with KENNY KA-SHING WU (M.D.)?
Directory geography for KENNY KA-SHING WU (M.D.) centers on San Gabriel, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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