Amelia Ann Fong, MD

Individual provider Active NPI Ophthalmology Physician · Honolulu, HI

NPI 1104186311 · NPPES record last updated Apr 4, 2018

Key facts

NPI
1104186311
Entity type
Individual (NPI type 1)
Primary specialty
Ophthalmology Physician 207W00000X
License
MD-19193 (HI)
Practice address
850 West Hind Drive
212
Honolulu, HI 96821-1845
Phone
(808) 373-4522
Fax
(808) 373-3299
NPI assigned
May 22, 2012
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Ophthalmology
Education
University of Hawaii John a. Burns School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amelia Ann Fong MD LLC (2 clinicians)

Practice addresses (Care Compare)

850 W Hind Dr
Suite 212
Honolulu, HI 96821-1845
Phone (808) 373-4522

Merit-based Incentive Payment System (MIPS)

Final score
94.82 of 100 (group)
Quality
100
Improvement activities
40
Cost
82.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery148
Melanoma (skin cancer) excision1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20171004002840 HI Practitioner - Ophthalmology 4183915721 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Amelia Ann Fong MD, LLC Ophthalmology Current
since Jul 23, 2017
Accepting new patients
Joyce H Cassen MD Ophthalmology Current
since Jul 23, 2017
Accepting new patients

Locations

850 W Hind Dr
Ste 212
Honolulu, HI 96821
Phone (808) 373-4522

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neuro-ophthalmology Physician 207WX0109X MD-19193 HI
Ophthalmology Physician 207W00000X MD-19193 HI Yes

Addresses

Primary practice location

850 West Hind Drive
212
Honolulu, HI 96821-1845

Mailing address

MSC 61380 PO Box 1300
Honolulu, HI 96807-1300
Phone (808) 373-4522

Other providers in Honolulu, HI

All providers in Honolulu, HI · Ophthalmology Physician in Hawaii

Sources for this page

Verify at the official NPI Registry.