Active NPI
Matthew H. Wong, M.D.
- Neurology Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- DR.0067632
- Practice address
- 660 Bannock St FL 5
Denver, CO 80204-4506 - Phone
- (303) 602-6170
- Fax
- (303) 602-6190
- NPI assigned
- May 17, 2007
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | DR.0067632 | CO | Primary |
| Neurology Physician | 2084N0400X | ME139159 | FL | |
| Neurology Physician | 2084N0400X | 0101248367 | VA | |
| Clinical Neurophysiology Physician | 2084N0600X | 2010-02130 | NC | |
| Epilepsy Physician | 2084E0001X | 2010-02130 | NC | |
| Neurology Physician | 2084N0400X | 2010-02130 | NC |
Addresses
Primary practice location
660 Bannock St FL 5
Denver, CO 80204-4506
Mailing address
1802 Tiffany PL
Greensboro, NC 27408-3112
Phone (363) 413-3932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, CO, GA, IA, MT, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- McMaster Un, Michael Degroote School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1814 Westchester Dr
Suite 401
High Point, NC 27262-7369
Phone (336) 802-2080
500 Shepherd St
Winston Salem, NC 27103-1633
Phone (336) 716-2734
601 N Elm St
High Point, NC 27262-4331
Phone (336) 716-2734
Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734
Hospital & facility affiliations
- North Carolina Baptist Hospital
- High Point Regional Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME139159 | FL | MD | Neurology Physician |
| 0101248367 | VA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center-Dubuque | Current | Accepting new patients | |
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients | |
| Mercy Specialty Clinic | Current | Accepting new patients | |
| Mercy Specialty Clinic | Current | Accepting new patients | |
| Moses Cone Medical Services, Inc. | Current | Accepting new patients | |
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients | |
| Moses Cone Medical Services, Inc. | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Mercy Medical Center-Dubuque | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Medical Associates of Clinton, Iowa P.L.C. | Current | Accepting new patients |
Locations
630 S Raymond Ave
Unit 310
Pasadena, CA 91105
Phone (626) 598-3770
777 Bannock St
Denver, CO 80204
1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555
915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511
250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
520 N Elam Ave
Greensboro, NC 27403
Phone (336) 475-7148
1814 Westchester Dr
Ste 401
High Point, NC 27262
Phone (336) 802-2080
624 Quaker Ln
Ste D201
High Point, NC 27262
Phone (336) 883-3993
940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Interoperability endpoints
- mwong499786@carolinashealthcaresystem.direct-ci.com
- mwong264408@direct.dhha.org
Organizations & group practices 14
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
- Winston Salem, NC
- NPI 1003803032
-
- Pediatrics Physician
- Greensboro, NC
- NPI 1477785756
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- General Acute Care Hospital
- Dubuque, IA
- NPI 1659348506
-
- Multi-Specialty Clinic/Center
- Clinton, IA
- NPI 1386832764
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1427095249
-
- Neurology Physician
- Colorado Springs, CO
- NPI 1134307531
GA, IA, IL, MT
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
- Family Medicine Physician
- Clinton, IA
- NPI 1841244431
-
- Psychiatric Hospital Unit
- Dubuque, IA
- NPI 1851326920
-
- Family Medicine Physician
- Clinton, IA
- NPI 1275197998
-
- Family Medicine Physician
- Madison, NC
- NPI 1629376363
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- High Point, NC
- NPI 1396746228
-
- Psychiatric Hospital Unit
- Winston Salem, NC
- NPI 1063480531
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
-
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1104033281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 TIFFANY PL",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274083112",
"telephone_number": "363-413-3932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 BANNOCK ST FL 5",
"city": "DENVER",
"state": "CO",
"postal_code": "802044506",
"telephone_number": "303-602-6170",
"fax_number": "303-602-6190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "MATTHEW",
"middle_name": "H.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CO",
"license": "DR.0067632",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME139159",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101248367",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "NC",
"license": "2010-02130",
"primary": false
},
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "NC",
"license": "2010-02130",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "2010-02130",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.