DR. ALEX WANG (MD) – Family Medicine Physician, NPI 1841815883

DR. ALEX WANG (MD) is a healthcare provider. based in Renton, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD61519863 (WA). The NPI Number for DR. ALEX WANG (MD) is 1841815883

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALEX WANG (MD)
NPI
1841815883
Phone
(425) 690-3405
Address
14410 SE PETROVITSKY RD STE 104
Enumeration Date
16 June 2020
Last Update Date
14 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
7113341694
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20240816001790
Address ID
IL600268001GL2600XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for DR. ALEX WANG (MD)

  • 14410 SE PETROVITSKY RD STE 104

    RENTON, WA 980588900

    Phone: (425) 690-3405

    Type: Mailing

  • 2020 OGDEN AVE STE 330

    AURORA, IL 605045897

    Phone: (630) 978-4850

    Fax: (630) 978-6865

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $426.

Total Amount is formed as General ($426) + Research ($0) + Ownership ($0) = $426.

Last reported payment date: 2024-06-08 • Largest payer in this snapshot: NESTLE HEALTHCARE NUTRITION INC. ($123).

Total Amount

$426

General + Research + Ownership

Payments

14

Total payment records

General Amount

$426

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-08

Latest reported date

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: 2024-08-16

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
I20240816001790IFamily PracticeWATBD

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 98058)

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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: 9032020490View full group profile

Reviews

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Frequently asked questions

Does DR. ALEX WANG (MD) have a public NPI I can cite?
Public records show DR. ALEX WANG (MD) under NPI 1841815883.
Is DR. ALEX WANG (MD)'s NPI status active today?
Active status means DR. ALEX WANG (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. ALEX WANG (MD)?
NPPES ties DR. ALEX WANG (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. ALEX WANG (MD) in Renton, Washington?
For routing, start with Renton, Washington for DR. ALEX WANG (MD), then verify phone and hours locally.
Why is information missing for DR. ALEX WANG (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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