Individual provider Active NPI

Matthew H. Wong, M.D.

  • Neurology Physician
  • Denver, CO
National Provider Identifier
1104033281
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DR.0067632 Issued in CO
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

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20110517000820 NC Practitioner - Neurology 2365628831 Reassigns benefits to 3 organizations
I20220209001458 CO Practitioner - NeurologyPractitioner - Psychiatry 2365628831 Reassigns benefits to 2 organizations
I20220323000828 GA Practitioner - Neurology 2365628831 Reassigns benefits to 1 organization
I20220606000150 IA Practitioner - Neurology 2365628831 Reassigns benefits to 3 organizations
I20230222002355 MT Practitioner - Neurology 2365628831 Reassigns benefits to 1 organization
I20230228001751 IL Practitioner - Neurology 2365628831 Reassigns benefits to 1 organization

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
Wake Forest Health Network LLCGroup PAC ID 4183538895, 276 clinicians
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

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 Hospital, Winston-Salem, NC, CCN 340047
  • High Point Regional Health System Hospital, High Point, NC, CCN 340004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME139159FLMDNeurology Physician
0101248367VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center-Dubuque CurrentSince Mar 3, 2022 Accepting new patients
The Health and Hospital Corporation of Marion County CurrentSince Mar 27, 2022 Accepting new patients
Mercy Specialty Clinic CurrentSince Jul 1, 2022 Accepting new patients
Mercy Specialty Clinic Current Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Aug 20, 2012 Accepting new patients
The Health and Hospital Corporation of Marion County CurrentSince Mar 27, 2022 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Aug 20, 2012 Accepting new patients
Denver Health and Hospital Authority CurrentSince Feb 1, 2022 Accepting new patients
Mercy Medical Center-Dubuque CurrentSince Mar 3, 2022 Accepting new patients
Denver Health and Hospital Authority CurrentSince Feb 1, 2022 Accepting new patients
Wake Forest University Health Sciences CurrentSince Sep 23, 2013 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

  • Direct secure messaging: mwong499786@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.