Individual provider Active NPI

Ronald Fong, MD

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1164842928
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
100323 Issued in GA
Practice address
622 W 168TH St
PH 5-133
New York, NY 10032
Phone
(818) 657-9642
NPI assigned
Apr 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 69334 WI
Anesthesiology Physician 207L00000X 100323 GA Primary

Addresses

Primary practice location

622 W 168TH St
PH 5-133
New York, NY 10032

Mailing address

100 Haven Ave
Apt 24C
New York, NY 10032-2645

Other practice location 1

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA, AL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240603003470 NY Practitioner - Anesthesiology 6204183395 Reassigns benefits to 1 organization
I20241111003557 GA Practitioner - Anesthesiology 6204183395 Reassigns benefits to 8 organizations
I20250126000025 AL Practitioner - Anesthesiology 6204183395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians
Precision Anesthesia Partners LLCGroup PAC ID 5991193088, 20 clinicians
North Perimeter Anesthesia LLCGroup PAC ID 4486951845, 19 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2500

318 Tribble Gap Rd
Cumming, GA 30040-2440
Phone (678) 541-5552

3330 Preston Ridge Rd
Suite 200
Alpharetta, GA 30005-4509
Phone (404) 255-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.77 of 100Reported as group
Quality
88.12
Improvement activities
40
Cost
77.69

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100323GAMDAnesthesiology Physician
69334WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Perimeter Anesthesia LLC Anesthesiology CurrentSince Jan 1, 2026 Accepting new patients
Redmond Anesthesia and Pain Treatment, PC Anesthesiology CurrentSince Jan 1, 2026 Accepting new patients
Jefferson Anesthesiologist Services PC Anesthesiology CurrentSince May 13, 2024 Accepting new patients
The Emory Clinic Inc CurrentSince Sep 30, 2024 Accepting new patients
Riverview Anesthesia Consultants LLC Anesthesiology CurrentSince Nov 22, 2024 Accepting new patients
Precision Anesthesia Partners LLC Anesthesiology CurrentSince Oct 27, 2025 Accepting new patients
Northlake Anesthesia Professionals, LLC Anesthesiology CurrentSince May 19, 2025 Accepting new patients
Piedmont Anesthesia LLC Anesthesiology CurrentSince May 19, 2025 Accepting new patients
Mak Anesthesia Georgia, LLC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Mak Anesthesia Holdings LLC Anesthesiology CurrentSince Feb 16, 2026 Accepting new patients

Locations

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

3330 Preston Ridge Rd
Ste 200
Alpharetta, GA 30005
Phone (404) 255-1000

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

4200 Northside Pkwy NW
Ste 8
Atlanta, GA 30327
Phone (404) 233-3833

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

318 Tribble Gap Rd
Cumming, GA 30040
Phone (770) 889-0891

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

466 Green St NE
Gainesville, GA 30501
Phone (404) 242-6360

766 Walther Rd
Ste 300
Lawrenceville, GA 30046
Phone (770) 237-3000

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

4500 Hospital Blvd
Ste 200
Roswell, GA 30076
Phone (770) 676-4600

4500 Hospital Blvd
Ste 210
Roswell, GA 30076

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

2131 Fountain Dr
Snellville, GA 30078
Phone (770) 736-2225

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

1491 Montreal Rd
Tucker, GA 30084
Phone (770) 270-1284

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

Organizations & group practices 10

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 3

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": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1164842928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HAVEN AVE",
            "address_2": "APT 24C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100322645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "address_2": "PH 5-133",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "818-657-9642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300467694",
            "country_code": "US",
            "telephone_number": "678-312-1000",
            "fax_number": "678-312-3282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONG",
        "first_name": "RONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "69334",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "100323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.