Individual provider Active NPI

Gloria Ong, MD

  • Internal Medicine Physician
  • Goodyear, AZ
National Provider Identifier
1134570971
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57628 Issued in AZ
Practice address
1325 N Litchfield Rd Ste 110
Goodyear, AZ 85395-1228
Phone
(623) 935-9494
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 57628 AZ Primary

Addresses

Primary practice location

1325 N Litchfield Rd Ste 110
Goodyear, AZ 85395-1228

Mailing address

1325 N Litchfield Rd Ste 110
Goodyear, AZ 85395-1228
Phone (623) 935-9494

Other practice location 1

8414 Naab Rd Ste 100
Indianapolis, IN 46260-1972
Phone (317) 338-7510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20191021000513 AZ Practitioner - Internal Medicine 5193017382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Med-Cure Internal Medicine PLCGroup PAC ID 2668522665, 29 clinicians

Practice addresses (Care Compare)

1325 N Litchfield Rd
Suite 110
Goodyear, AZ 85395-1228
Phone (623) 935-9494

Hospital & facility affiliations

  • Abrazo West Campus Hospital, Goodyear, AZ, CCN 030110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Med-Cure Internal Medicine, PLC Single Specialty CurrentSince Oct 1, 2019 Accepting new patients
Hospital Development of West Phoenix Inc Past Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Single Specialty PastSince Aug 25, 2019 Accepting new patients

Locations

525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498

7330 N 99th Ave
Ste 205
Glendale, AZ 85307
Phone (623) 209-1474

13657 W McDowell Rd
Ste 118
Goodyear, AZ 85395
Phone (623) 328-7794

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

13657 W McDowell Rd
Ste 11
Goodyear, AZ 85395

1325 N Litchfield Rd
Ste 110
Goodyear, AZ 85395
Phone (623) 932-4060

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBDIAA
  • Direct secure messaging: gloria.ong@mcim.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1134570971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N LITCHFIELD RD STE 110",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951228",
            "telephone_number": "623-935-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N LITCHFIELD RD STE 110",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951228",
            "telephone_number": "623-935-9494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8414 Naab Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601972",
            "country_code": "US",
            "telephone_number": "317-338-7510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONG",
        "first_name": "GLORIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "57628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.