Active NPI
Debra A Wong, M.D.
- Medical Oncology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- A117617
- Practice address
- 625 N 6TH St
Phoenix, AZ 85004 - Phone
- (602) 406-8222
- NPI assigned
- Jul 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 47388 | AZ | |
| Medical Oncology Physician | 207RX0202X | A117617 | CA | Primary |
Addresses
Primary practice location
625 N 6TH St
Phoenix, AZ 85004
Mailing address
3030 N Central Ave Ste 1001
Phoenix, AZ 85012-2716
Phone (602) 406-4786
Other practice location 1
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (480) 301-8000
Other practice location 2
1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@cityofhope.direct-ci.com | Direct | CITY OF HOPE MEDICAL FOUNDATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130826000125 | AZ | Practitioner - Hematology/Oncology | 0941443857 | Reassigns benefits to 1 organization |
| I20200528002320 | CA | Practitioner - Medical Oncology | 0941443857 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- City of Hope Medical Foundation
Practice addresses (Care Compare)
1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673
1500 E Duarte Rd
Duarte, CA 91010-3012
209 Fair Oaks Ave
South Pasadena, CA 91030-1814
Phone (626) 396-2900
Hospital & facility affiliations
- City of Hope Cancer Center Phoenix
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A117617 | CA | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Foundation | Hematology & Oncology | Current | Accepting new patients |
| City of Hope Medical Group of Arizona LLC | Internal Medicine | Current | Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Western Regional Medical Center, Inc. | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
20159 N Scottsdale Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 530-4200
1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111
209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111
6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542
Interoperability endpoints
- direct@cityofhope.direct-ci.com
- https://fhir.yourcareuniverse.net/tenant/1e652adb-d6d8-4094-bdfc-81d32d2a7070
- dwong61024@cityofhope.direct-ci.com
Organizations & group practices 6
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.
-
- Hematology & Oncology Physician
- Duarte, CA
- NPI 1871886366
CA, Hematology & Oncology
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
AZ, Internal Medicine
-
- Hematology & Oncology Physician
- South Pasadena, CA
- NPI 1164963583
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1508029422
-
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1508029422
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1215166335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 N CENTRAL AVE STE 1001",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122716",
"telephone_number": "602-406-4786",
"fax_number": "916-636-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 N 6TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85004",
"telephone_number": "602-406-8222"
}
],
"practiceLocations": [
{
"address_1": "13400 E Shea Blvd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852595452",
"country_code": "US",
"telephone_number": "480-301-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 Duarte Rd",
"address_purpose": "LOCATION",
"city": "Duarte",
"state": "CA",
"postal_code": "910103012",
"country_code": "US",
"telephone_number": "626-256-4673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONG",
"first_name": "DEBRA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-10",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "AZ",
"license": "47388",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "CA",
"license": "A117617",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@cityofhope.direct-ci.com",
"affiliation": "Y",
"affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1500 Duarte Rd",
"city": "Duarte",
"state": "CA",
"country_code": "US",
"postal_code": "910103012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.