Individual provider Active NPI

Rupa Krishnamurthy Wong, M.D.

  • Ophthalmology Physician
  • Honolulu, HI
National Provider Identifier
1144288184
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14668 Issued in HI
Practice address
1329 Lusitana St
Suite 806
Honolulu, HI 96813-2429
Phone
(808) 562-0030
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 227395 MA
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 14668 HI
Ophthalmology Physician 207W00000X 14668 HI Primary

Addresses

Primary practice location

1329 Lusitana St
Suite 806
Honolulu, HI 96813-2429

Mailing address

1329 Lusitana St
Suite 806
Honolulu, HI 96813-2429
Phone (808) 562-0030

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
I20080619000271 HI Practitioner - Ophthalmology 7618048638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JS Weill Medical College, Cornell University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Jason Wong MD IncGroup PAC ID 8628149630, 4 clinicians

Practice addresses (Care Compare)

1329 Lusitana St
Suite 806
Honolulu, HI 96813-2435
Phone (808) 526-0030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14668HIMDOphthalmology Physician
227395MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Jason Wong MD Inc Ophthalmology CurrentSince Mar 12, 2008 Accepting new patients
Gary Edwards MD Inc Ophthalmology PastSince Jun 15, 2008 Accepting new patients

Locations

1329 Lusitana St
Ste 806
Honolulu, HI 96813
Phone (808) 526-0030

Networks

  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
  • HI PPO

Interoperability endpoints

  • Direct secure messaging: rw@honolulueye.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1144288184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 806",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-562-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 806",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-562-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "RUPA",
        "middle_name": "KRISHNAMURTHY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "227395",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "HI",
            "license": "14668",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "14668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.