Individual provider Active NPI

Alan Dare Tong, M.D.

  • Pediatric Cardiology Physician
  • Springfield, MO
National Provider Identifier
1003812504
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
2004030806 Issued in MO
Practice address
4350 S National Ave
Suite C 100
Springfield, MO 65810-2607
Phone
(417) 447-4700
Fax
(417) 447-4701
NPI assigned
Jun 21, 2005
Last updated
Dec 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 2004030806 MO Primary

Addresses

Primary practice location

4350 S National Ave
Suite C 100
Springfield, MO 65810-2607

Mailing address

1301 Concord Ter
Sunrise, FL 33323-2843
Phone (800) 243-3839

Other identifiers 2

IdentifierTypeStateIssuer
209220805MedicaidMO
200316950AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050311000024 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 8224013230 Reassigns benefits to 4 organizations
I20150427000113 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 8224013230 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2004030806MOMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skaggs Community Hospital Association CurrentSince Jul 1, 2016 Accepting new patients
Ozarks Medical Center CurrentSince Jul 18, 2023 Accepting new patients
Ozarks Medical Center CurrentSince Jul 18, 2023 Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Freeman-Oak Hill Health System CurrentSince May 18, 2014 Accepting new patients
Pediatrix Medical Group of Tennessee, P.C. Pediatric Cardiology CurrentSince Jan 1, 2015 Accepting new patients
Freeman-Oak Hill Health System CurrentSince May 18, 2014 Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients
The Children's Mercy Hospital Past Accepting new patients
Citizens Memorial Healthcare Past Accepting new patients

Locations

1300 Sawgrs Corp Pkwy
Ste 200
Sunrise, FL 33323
Phone (954) 384-0175

1301 Concord Ter
Sunrise, FL 33323
Phone (954) 384-0175

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

1130 E 32nd St
Joplin, MO 64804
Phone (417) 347-2273

1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

4350 S National Ave
Ste C100
Springfield, MO 65810
Phone (417) 447-4700

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

1135 E Lakewood St
Ste 104
Springfield, MO 65810
Phone (417) 879-6364

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

210 23rd Ave N
Ste 420
Nashville, TN 37203
Phone (615) 301-6720

Networks

  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • IA HMO
  • IL PPO Downstate
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • IA HMO C-SNP
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

Interoperability endpoints

  • Direct secure messaging: alan.tong@cernerdirect.coxhealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1003812504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "800-243-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 S NATIONAL AVE",
            "address_2": "SUITE C 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102607",
            "telephone_number": "417-447-4700",
            "fax_number": "417-447-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONG",
        "first_name": "ALAN",
        "middle_name": "DARE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MO",
            "license": "2004030806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209220805",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200316950A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.