CORDIA WAN (MD) – Neurology Physician, NPI 1811175730

CORDIA WAN (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. A98109 (CA). The NPI Number for CORDIA WAN (MD) is 1811175730

Main info

Female
21 Years Of Experience
Name
CORDIA WAN (MD)
NPI
1811175730
Phone
(310) 463-6362
Address
PO BOX 27128
Enumeration Date
1 February 2008
Last Update Date
15 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
8082449056
Graduation Year
2005 (21 years ago)
PAC ID
4284784604
Group Practice PAC ID
9830476159
Professional Enrollment ID
I20171005002470
Address ID
HI967932526WA221XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

219 NEUROLOGY in UT

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Provider Addresses for CORDIA WAN (MD)

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone: (310) 463-6362

    Type: Mailing

  • 1380, Medical Center Drive, St. George, Washington County, Utah, 84790, United States

    ST GEORGE, UT 847902123

    Phone: (435) 251-1000

    Type: Location

  • 221 MAHALANI ST

    WAILUKU, HI 967932526

    Phone: (808) 244-9056

    Type: Location

  • 221 MAHALANI STREET

    COTTAGE 24

    WAILUKU, HI 96793

    Phone: (310) 463-6362

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $120.

Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.

Last reported payment date: 2023-11-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($120).

Total Amount

$120

General + Research + Ownership

Payments

1

Total payment records

General Amount

$120

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-17

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: 2017-10-05

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
I20171005002470INeurologyHITBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5531$0
99291Critical care, first 30-74 minutes4522$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3635$0
View full utilization report →

Insurance plans in this area (ZIP 84127)

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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: 9830476159View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YWA
G A S T R O E N T E R O L O G YOR
Emergency MedicineCA
Pulmonary DiseaseFL
P S Y C H I A T R YWA
Emergency MedicineHI
Nurse PractitionerNC
Internal Medicine, Critical Care (Intensivists)HI
-HI
Internal Medicine, Pulmonary DiseaseHI

Reviews

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Frequently asked questions

What is the standard ID for CORDIA WAN (MD) in the U.S.?
In the U.S., CORDIA WAN (MD) is identified by NPI 1811175730.
Is CORDIA WAN (MD) currently accepting referrals based on NPI status?
Registry metadata lists CORDIA WAN (MD) as active.
How should patients interpret CORDIA WAN (MD)'s specialty?
The extract shows Neurology Physician for CORDIA WAN (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to CORDIA WAN (MD)?
CORDIA WAN (MD) is associated with Salt Lake City, Utah in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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