Active NPI
Jeffery Wong, MD
- Diagnostic Radiology Physician
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301061765
- Practice address
- 44201 Dequindre
Troy, MI 48085 - Phone
- (248) 898-5000
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301061765 | MI | Primary |
Addresses
Primary practice location
44201 Dequindre
Troy, MI 48085
Mailing address
26901 Beaumont Blvd # 3D
Southfield, MI 48033-3849
Phone (947) 522-1952
Other practice location 1
36555 26 Mile Road
# 1400
Lenox Township, MI 48048
Phone (947) 523-4020
Other practice location 2
36555 26 Mile Road
Suite 3000
Lenox Township, MI 48048
Phone (947) 523-4040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300F362420 | Other | MI | BCBSM |
| 4343826 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jwong8436@direct.beaumont.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Michigan Medical School, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8196
3555 W 13 Mile Rd
N120 Corewell Health William Beaumont Unive
Royal Oak, MI 48073-6710
Phone (248) 551-1550
3577 W 13 Mile Rd
Royal Oak, MI 48073-6710
3581 W 13 Mile Rd BCC
Beaumont Breast Care Center Ro
Royal Oak, MI 48073-6710
Phone (248) 551-3300
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-0575
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187
44201 Dequindre Rd Ec
Beaumont Emergency Services TR
Troy, MI 48085-1117
Phone (248) 964-5111
44250 Dequindre Rd
Sterling Heights, MI 48314-1002
Phone (248) 964-5190
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1605
Hospital & facility affiliations
- Beaumont Hospital, Troy
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Farmington Hills
- Beaumont Hospital - Grosse Pointe
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 85.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group Hospital -Based Services | Current | Accepting new patients | |
| Troy Internal Medicine, PC | Current | Accepting new patients | |
| Beaumont Special Radiological Procedures | Diagnostic Radiology | Past | Accepting new patients |
Locations
36555 26 Mile Rd
Ste 1400
Lenox, MI 48048
Phone (947) 523-4020
36555 26 Mile Rd
Ste 3000
Lenox, MI 48048
Phone (947) 523-4040
3601 W 13 Mile Rd
Royal Oak, MI 48073
3601 W 13 Mile Rd
#400
Royal Oak, MI 48073
Phone (248) 423-2481
26901 Beaumont Blvd
#3D
Southfield, MI 48033
4600 Investment Dr
Ste 300
Troy, MI 48098
Phone (248) 267-5000
4600 Investment Dr
Troy, MI 48098
Phone (248) 267-5000
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
Interoperability endpoints
- jwong1456426@epic00.shdirect.org
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.
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
-
- Internal Medicine Physician
- Troy, MI
- NPI 1356450589
-
- Diagnostic Radiology Physician
- Royal Oak, MI
- NPI 1043220205
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665273600000",
"number": "1205896263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD # 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849",
"telephone_number": "947-522-1952",
"fax_number": "947-522-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44201 DEQUINDRE",
"city": "TROY",
"state": "MI",
"postal_code": "48085",
"telephone_number": "248-898-5000"
}
],
"practiceLocations": [
{
"address_1": "36555 26 Mile Road",
"address_2": "# 1400",
"address_purpose": "LOCATION",
"city": "Lenox Township",
"state": "MI",
"postal_code": "48048",
"country_code": "US",
"telephone_number": "947-523-4020",
"fax_number": "947-523-4021",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "36555 26 Mile Road",
"address_2": "Suite 3000",
"address_purpose": "LOCATION",
"city": "Lenox Township",
"state": "MI",
"postal_code": "48048",
"country_code": "US",
"telephone_number": "947-523-4040",
"fax_number": "947-523-4041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONG",
"first_name": "JEFFERY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2022-10-09",
"certification_date": "2022-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301061765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "300F362420",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4343826",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jwong8436@direct.beaumont.edu",
"affiliation": "N",
"address_1": "44201 DEQUINDRE",
"city": "TROY",
"state": "MI",
"country_code": "US",
"postal_code": "48085",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.