Individual provider Active NPI

Xixi Wong, M.D.

  • Psychiatry Physician
  • Pittsburgh, PA
National Provider Identifier
1174815997
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD450948 Issued in PA
Practice address
20 Cedar Blvd Ste 410
Pittsburgh, PA 15228
Phone
(901) 830-0820
NPI assigned
May 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT198896 PA
Psychiatry Physician 2084P0800X MT198896 PA
Psychiatry Physician 2084P0800X MD450948 PA Primary

Addresses

Primary practice location

20 Cedar Blvd Ste 410
Pittsburgh, PA 15228

Mailing address

3206 Willow Ridge Dr
Bridgeville, PA 15017-1597
Phone (901) 830-0820

Other practice location 1

3206 Willow Ridge Dr
Bridgeville, PA 15017
Phone (917) 699-2163

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address xixi.wong.1@19490.direct.athenahealth.com Health Information Exchange (HIE)
Direct Messaging Address xixi.wong@upmcdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH, PA, NC, WA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20170912001321 IN Practitioner - Psychiatry 0648560607 Reassigns benefits to 1 organization
I20180207001042 OH Practitioner - Psychiatry 0648560607 Reassigns benefits to 2 organizations
I20180606001609 PA Practitioner - Psychiatry 0648560607 Reassigns benefits to 2 organizations
I20180720003223 NC Practitioner - Neurology 0648560607 Reassigns benefits to 1 organization
I20190314001640 WA Practitioner - Neurology 0648560607 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT198896PAMDFamily Medicine Physician
MD450948PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dublin Springs Physician Group, LLC Psychiatry CurrentSince Jan 2, 2018 Accepting new patients
Triangle Springs Physician Group, LLC Psychiatry CurrentSince May 16, 2018 Accepting new patients
Brentwood Meadows Physician Group LLC Psychiatry CurrentSince Sep 1, 2017 Accepting new patients
Alpine Clinic, LLC Psychiatry CurrentSince May 29, 2018 Accepting new patients
Beckett Springs Physician Group LLC Psychiatry CurrentSince Jan 2, 2018 Accepting new patients
Andrew J Eppich LCSW LLC CurrentSince Jul 1, 2019 Accepting new patients
Beckett Springs Physician Group LLC Psychiatry CurrentSince Jan 2, 2018 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 19, 2021 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
University of Pittsburgh Physicians Psychiatry CurrentSince Jul 1, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2018 Accepting new patients
Pinnacle Health Medical Services Family Medicine CurrentSince Apr 19, 2021 Accepting new patients
Rainier Springs Physician Group, LLC Psychiatry CurrentSince Dec 28, 2018 Accepting new patients
Beckett Springs, LLC Psychiatry Past Accepting new patients

Locations

7941 Solution Ctr
Chicago, IL 60677

7934 Solution Ctr
Chicago, IL 60677

3660 Rome Dr
Lafayette, IN 47905
Phone (765) 446-9394

4488 Roslin Rd
Newburgh, IN 47630
Phone (812) 710-4038

10901 World Trade Blvd
Raleigh, NC 27617
Phone (919) 272-1026

7625 Hospital Dr
Dublin, OH 43016
Phone (614) 414-2277

8614 Shepherd Farm Dr
West Chester, OH 45069
Phone (513) 942-9500

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

205 S Front St
Fl 5
Harrisburg, PA 17104
Phone (717) 231-8360

20 Cedar Blvd
Ste 410
Pittsburgh, PA 15228
Phone (412) 496-7395

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

2805 NE 129th St
Vancouver, WA 98686
Phone (360) 356-1890

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1174815997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 WILLOW RIDGE DR",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171597",
            "telephone_number": "901-830-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CEDAR BLVD STE 410",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15228",
            "telephone_number": "901-830-0820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3206 Willow Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Bridgeville",
            "state": "PA",
            "postal_code": "15017",
            "country_code": "US",
            "telephone_number": "917-699-2163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "XIXI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2021-06-21",
        "certification_date": "2020-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT198896",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MT198896",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD450948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "xixi.wong.1@19490.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20 Cedar Blvd Ste 410",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "xixi.wong@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "UPMC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3811 OHara St",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152132561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.