Individual provider Active NPI

Alvin G Wong, D.O.

  • Internal Medicine Physician
  • Scootsdale, AZ
National Provider Identifier
1033105143
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3214 Issued in AZ
Practice address
10900 N Scottsdale Rd.
Sutie 603
Scootsdale, AZ 85254-5216
Phone
(480) 607-3800
Fax
(480) 607-3808
NPI assigned
Sep 23, 2005
Last updated
Feb 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3214 AZ Primary

Addresses

Primary practice location

10900 N Scottsdale Rd.
Sutie 603
Scootsdale, AZ 85254-5216

Mailing address

10900 N Scottsdale Rd
Sutie 603
Scottsdale, AZ 85254-5216
Phone (480) 607-3800

Other identifiers 1

IdentifierTypeStateIssuer
390154-05MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091208000711 AZ Practitioner - Internal Medicine 8426042276 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

10200 N 92ND St
Suite 200
Scottsdale, AZ 85258-4543
Phone (480) 882-7410

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth CurrentSince Apr 1, 2014 Accepting new patients
Scottsdale Healthcare Corp. CurrentSince Mar 15, 2014 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Oct 1, 2020 Accepting new patients
Honorhealth CurrentSince Apr 1, 2014 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Internal Medicine Current Accepting new patients
Honorhealth Medical Group, LLC Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Honorhealth Ambulatory CurrentSince Mar 15, 2014 Accepting new patients
Valley Anesthesiology Consultants, Inc. Past Accepting new patients

Locations

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

19636 N 27th Ave
Ste 308
Phoenix, AZ 85027
Phone (623) 780-1999

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

10200 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 314-2288

10301 N 92nd St
Ste B201
Scottsdale, AZ 85258
Phone (480) 882-7410

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

10900 N Scottsdale Rd
Ste 603
Scottsdale, AZ 85254
Phone (480) 607-3800

7301 E 2nd St
Ste 210
Scottsdale, AZ 85251
Phone (480) 534-4515

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

Interoperability endpoints

  • Direct secure messaging: awong35267@direct.honorhealth.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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1033105143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 N SCOTTSDALE RD",
            "address_2": "SUTIE 603",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545216",
            "telephone_number": "480-607-3800",
            "fax_number": "480-607-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 N SCOTTSDALE RD.",
            "address_2": "SUTIE 603",
            "city": "SCOOTSDALE",
            "state": "AZ",
            "postal_code": "852545216",
            "telephone_number": "480-607-3800",
            "fax_number": "480-607-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ALVIN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "3214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390154-05",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.