Active NPI
Robert N Wong, MD
- Hospitalist Physician
- Chandler, AZ
National Provider Identifier
1053308445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 25491
- Practice address
- Bomc Attn Hospitalists
1405 S. Alma School Rd
Chandler, AZ 85286 - Phone
- (480) 256-7420
- Fax
- (480) 646-3826
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25491 | AZ | |
| Hospitalist Physician | 208M00000X | 25491 | AZ | Primary |
Addresses
Primary practice location
Bomc Attn Hospitalists
1405 S. Alma School Rd
Chandler, AZ 85286
Mailing address
Bomc Attn Hospitalists
1405 S. Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171011002043 | TX | Practitioner - Internal Medicine | 3678599925 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipn of Arizona, PLC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Glendale, AZ
- NPI 1538119284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1053308445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOMC ATTN HOSPITALISTS",
"address_2": "1405 S. ALMA SCHOOL RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "85286",
"telephone_number": "480-256-7420",
"fax_number": "480-646-3826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BOMC ATTN HOSPITALISTS",
"address_2": "1405 S. ALMA SCHOOL RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "85286",
"telephone_number": "480-256-7420",
"fax_number": "480-646-3826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "ROBERT",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "25491",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "25491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.