Active NPI
Gloria J. Tong, MD
- Psychiatry Physician
- Fridley, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4913886-1205
- Practice address
- 480 Osborne Rd NE Ste 260
Fridley, MN 55432-2866 - Phone
- (763) 236-3800
- NPI assigned
- Feb 15, 2007
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 50462 | MN | |
| Geriatric Psychiatry Physician | 2084P0805X | TP103474 | MN | |
| Geriatric Psychiatry Physician | 2084P0805X | A97079 | CA | |
| Geriatric Psychiatry Physician | 2084P0805X | MD00045423 | WA | |
| Geriatric Psychiatry Physician | 2084P0805X | 49138868905 | UT | |
| Psychiatry Physician | 2084P0800X | 4913886-1205 | UT | Primary |
Addresses
Primary practice location
480 Osborne Rd NE Ste 260
Fridley, MN 55432-2866
Mailing address
PO Box 43
Minneapolis, MN 55440-0043
Phone (612) 262-1166
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gtong302941@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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
- Psychiatry
- Education
- University of Utah School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
502 E 2ND St
Duluth, MN 55805-1913
Phone (218) 786-1533
Hospital & facility affiliations
- Essentia Health St Mary'S Medical Center
- Essentia Health St Joseph'S Medical Center
- Essentia Health Duluth
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4913886-1205 | UT | MD | Psychiatry Physician |
| A97079 | CA | MD | Geriatric Psychiatry Physician |
| TP103474 | MN | MD | Geriatric Psychiatry Physician |
| 49138868905 | UT | MD | Geriatric Psychiatry Physician |
| MD00045423 | WA | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients |
Locations
502 E 2nd St
Duluth, MN 55805
Phone (218) 727-8762
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
Interoperability endpoints
- gtong302941@excellian.direct.allina.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Cloquet, MN
- NPI 1902563638
-
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Duluth, MN
- NPI 1457393035
-
- General Acute Care Hospital
- Brainerd, MN
- NPI 1568415974
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brainerd, MN
- NPI 1740393032
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1043354095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554400043",
"telephone_number": "612-262-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 OSBORNE RD NE STE 260",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554322866",
"telephone_number": "763-236-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONG",
"first_name": "GLORIA",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "50462",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "MN",
"license": "TP103474",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "CA",
"license": "A97079",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "WA",
"license": "MD00045423",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "UT",
"license": "49138868905",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "UT",
"license": "4913886-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gtong302941@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "480 Osborne Rd NE Ste 260",
"city": "Fridley",
"state": "MN",
"country_code": "US",
"postal_code": "554322866",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.