Individual provider Active NPI

Amelia Ann Fong, MD

  • Ophthalmology Physician
  • Honolulu, HI
National Provider Identifier
1104186311
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD-19193 Issued in 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
Last updated
Apr 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 2

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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 1

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

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 6901171727, 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 100Reported as group
Quality
100
Improvement activities
40
Cost
82.72

Procedures performed for Medicare patients

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-19193HIMDOphthalmology Physician

Practice roles

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

Locations

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1104186311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC 61380 PO BOX 1300",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968071300",
            "telephone_number": "808-373-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 WEST HIND DRIVE",
            "address_2": "212",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211845",
            "telephone_number": "808-373-4522",
            "fax_number": "808-373-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "AMELIA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "HI",
            "license": "MD-19193",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD-19193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.