Individual provider Active NPI

Laura K. Chong, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Oklahoma City, OK
National Provider Identifier
1174581508
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
D70933 Issued in MD
Practice address
750 NE 13TH St
Oklahoma City, OK 73104-5010
Phone
(405) 235-0040
NPI assigned
May 3, 2006
Last updated
Mar 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1330-TEP WI
Allergy & Immunology (Internal Medicine) Physician 207RA0201X D70933 MD Primary

Addresses

Primary practice location

750 NE 13TH St
Oklahoma City, OK 73104-5010

Mailing address

750 NE 13TH St
Oklahoma City, OK 73104-5010
Phone (405) 235-0040

Other identifiers 1

IdentifierTypeStateIssuer
036293000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20111115000071 OK Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 2860592912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oklahoma Allergy and Asthma ClinicGroup PAC ID 5294710927, 12 clinicians

Practice addresses (Care Compare)

750 NE 13TH St
Oklahoma City, OK 73104-5010
Phone 4052350040315

Merit-based Incentive Payment System (MIPS)

Final score
67.95 of 100Reported as individual
Quality
39.04
Improvement activities
40
Cost
74.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1330-TEPWIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Allergy & Asthma Clinic CurrentSince Sep 25, 2011 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3560 S Boulevard
Ste 150
Edmond, OK 73013

750 NE 13th St
Oklahoma City, OK 73104
Phone (405) 235-0040

750 NE 13th St
Fl Third
Oklahoma City, OK 73104

750 NE 13th St
Ste 300
Oklahoma City, OK 73104

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71186
  • Direct secure messaging: laura.chong@oklahomaallergy.directbygreenway.com

Organizations & group practices 4

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1174581508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 NE 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045010",
            "telephone_number": "405-235-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NE 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045010",
            "telephone_number": "405-235-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "LAURA",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "1330-TEP",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "MD",
            "license": "D70933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036293000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.