KAN Y WU (MD) – Diagnostic Radiology Physician, NPI 1972590362

KAN Y WU (MD) is a healthcare provider. based in Charleston, Illinois. specializing in Diagnostic Radiology Physician. They hold the professional credentials MD. They hold a License No. 036113712 (IL). The NPI Number for KAN Y WU (MD) is 1972590362

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
KAN Y WU (MD)
NPI
1972590362
Phone
(217) 345-2500
Address
907 WEST LINCOLN AVE
Enumeration Date
30 September 2005
Last Update Date
25 April 2008

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
2173372162
Graduation Year
1987 (39 years ago)
PAC ID
2264324052
Group Practice PAC ID
3870750482
Professional Enrollment ID
I20060601000077
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for KAN Y WU (MD)

  • 907, West Lincoln Avenue, Charleston, Coles County, Illinois, 61920, United States

    CHARLESTON, IL 619202413

    Phone: (217) 345-2500

    Fax: (217) 345-8366

    Type: Location

  • PO BOX 770

    907 WEST LINCOLN AVE

    CHARLESTON, IL 619202413

    Phone: (217) 345-2500

    Fax: (217) 345-8366

    Type: Mailing

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: 2006-06-01

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
I20060601000077IDiagnostic RadiologyILTBD

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
71045X-ray of chest, 1 view274228$0
77067Screening mammography181181$0
77063Screening 3d breast mammography175175$0
70450Ct scan head or brain without contrast167157$0
71046X-ray of chest, 2 views7976$0
View full utilization report →

Insurance plans in this area (ZIP 61920)

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Provider's Procedures

KAN Y WU (MD) performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIL74177CT scan of abdomen and pelvis with contrast117112
DIAGNOSTIC RADIOLOGYIL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1515
DIAGNOSTIC RADIOLOGYIL93922Ultrasound study of arteries of both arms and legs1818

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: 3870750482View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to KAN Y WU (MD)?
NPI 1972590362 is assigned to KAN Y WU (MD) under the national enumeration system.
Does this profile mean KAN Y WU (MD) is currently active?
Yes — KAN Y WU (MD) appears active in the national provider directory.
What field does KAN Y WU (MD) work in?
You can think of KAN Y WU (MD) as practicing within Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place KAN Y WU (MD)?
The snapshot lists Charleston, Illinois for KAN Y WU (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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