Active NPI
Alina Borisovna Wong, MD
- Gastroenterology Physician
- Issaquah, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD60749734
- Practice address
- 751 NE Blakely Dr Ste 3020
Issaquah, WA 98029-6201 - Phone
- (425) 313-4345
- Fax
- (425) 313-4704
- NPI assigned
- Mar 29, 2014
- Last updated
- Sep 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD60749734 | WA | Primary |
Addresses
Primary practice location
751 NE Blakely Dr Ste 3020
Issaquah, WA 98029-6201
Mailing address
PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023436938 | Medicaid | WA |
Other names 1
- Alina Kutsenko
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Pacmed Clinics
Practice addresses (Care Compare)
1101 Madison St
Suite 301
Seattle, WA 98104-3599
Phone (206) 505-1300
1221 Madison St
Suite 1220
Seattle, WA 98104-1356
Phone (206) 215-4250
747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000
751 NE Blakely Dr
Issaquah, WA 98029-6201
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 76 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 43 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacmed Clinics | Current | Accepting new patients | |
| Pacmed Clinics | Current | Accepting new patients | |
| Swedish Health Services | Gastroenterology | Current | Accepting new patients |
| Pacmed Clinics | Current | Accepting new patients | |
| Pacmed Clinics | Current | Accepting new patients | |
| Swedish Health Services | Past | Accepting new patients |
Locations
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
751 NE Blakely Dr
Ste 3020
Issaquah, WA 98029
Phone (425) 313-5345
220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400
1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101
1101 Madison St
Ste 400
Seattle, WA 98104
Phone (206) 505-1230
1221 Madison St
Ste 1220
Seattle, WA 98104
Phone (206) 215-4250
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
800 5th Ave
Ste 600
Seattle, WA 98104
Organizations & group practices 6
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.
-
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1437202249
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1720023641
-
- Multi-Specialty Clinic/Center
- Puyallup, WA
- NPI 1841550530
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
dba Swedish/Issaquah
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1023436938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25608",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841250608",
"telephone_number": "206-320-4476",
"fax_number": "206-568-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 NE BLAKELY DR STE 3020",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980296201",
"telephone_number": "425-313-4345",
"fax_number": "425-313-4704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "ALINA",
"middle_name": "BORISOVNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-29",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": "MD60749734",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023436938",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALINA",
"last_name": "KUTSENKO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.