NPIMap

Individual provider Active NPI

Baron CKW Wong, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Waipahu, HI
National Provider Identifier
1093745523
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
11073 Issued in HI
Practice address
94-1080 Lumipolu St
Waipahu, HI 96797-3954
Phone
(808) 781-6833
Fax
(412) 506-8074
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A75213 CA
Hospitalist Physician 208M00000X MD-11073 HI
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 11073 HI Primary

Addresses

Primary practice location

94-1080 Lumipolu St
Waipahu, HI 96797-3954

Mailing address

94-1080 Lumipolu St
Waipahu, HI 96797-3954
Phone (808) 781-6833

Other practice location 1

13699 Kingsbridge St
Westminster, CA 92683-2963
Phone (808) 781-6833

Other identifiers 1

IdentifierTypeStateIssuer
00J02269991OtherHIHMSA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040923000791 HI Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5496723744 Reassigns benefits to 5 organizations
Practice locations: Kailua, HI; Wahiawa, HI; Waipahu, HI
I20200414002916 CA Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Geriatric MedicinePractitioner - Hospitalist 5496723744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Waipahu, HI 96797
Phone (808) 523-9363

128 Lehua St
FL 1
Wahiawa, HI 96786-2036
Phone (808) 621-8411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A75213CAMDGeriatric Medicine (Internal Medicine) Physician
11073HIMDGeriatric Medicine (Internal Medicine) Physician
MD-11073HIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 2, 2020 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Mar 2, 2020 Accepting new patients
Milestones CurrentSince May 9, 2025 Accepting new patients
Islands Hospice, Inc. CurrentSince May 9, 2025 Accepting new patients
Midpacific Hospitalists LLC Internal Medicine CurrentSince Oct 1, 2017 Accepting new patients
Bristol Palliative Care Services, LLC CurrentSince Oct 1, 2021 Accepting new patients
Ptworks, LLC PastSince Oct 1, 2007 Accepting new patients
Wahiawa Family Practice Clinic Inc PastSince Oct 2, 2001 Accepting new patients
Hawaii Hospital Physicians Inc Internal Medicine Past Accepting new patients
Hawaii Emergency Physicians Associated Inc Past Accepting new patients
Leahi Hospital Past Accepting new patients
Maluhia Past Accepting new patients
PSH Pearl City LLC Past Accepting new patients
PSH KM LLC Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

12680 High Bluff Dr
Ste 150
San Diego, CA 92130

820 Mililani St
Ste 400
Honolulu, HI 96813
Phone (808) 550-2552

55 Merchant St
Ste 2900
Honolulu, HI 96813
Phone (808) 536-8012

149 Maa St
Ste 100
Kahului, HI 96732
Phone (808) 856-8989

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

128 Lehua St
Wahiawa, HI 96786
Phone (808) 621-4330

128 Lehua St
Fl 1
Wahiawa, HI 96786
Phone (808) 621-8411

2002 Timberloch Pl
Ste 150A
The Woodlands, TX 77380
Phone (281) 419-4476

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17047/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bristol Hospice - Hawaii, L.L.C.Honolulu, HI, CCN 121508 Hospice Contracted Managing Employee Dec 1, 2023
St. Francis HospiceHonolulu, HI, CCN 121500 Hospice W-2 Managing Employee Apr 24, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1093745523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1080 LUMIPOLU ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973954",
            "telephone_number": "808-781-6833",
            "fax_number": "412-506-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1080 LUMIPOLU ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973954",
            "telephone_number": "808-781-6833",
            "fax_number": "412-506-8074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13699 Kingsbridge St",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CA",
            "postal_code": "926832963",
            "country_code": "US",
            "telephone_number": "808-781-6833",
            "fax_number": "412-506-8074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "BARON",
        "middle_name": "CKW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A75213",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "HI",
            "license": "MD-11073",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "HI",
            "license": "11073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00J02269991",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.