Individual provider Active NPI

Gabie K Ong, MD

  • Colon & Rectal Surgery Physician
  • Surprise, AZ
National Provider Identifier
1225470479
Registry record updated Dec 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
70522 Issued in AZ
Practice address
18715 N Reems Rd Ste 140
Surprise, AZ 85374-8643
Phone
(623) 440-6591
NPI assigned
Jul 29, 2013
Last updated
Dec 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 70522 AZ
Colon & Rectal Surgery Physician 208C00000X 70522 AZ Primary

Addresses

Primary practice location

18715 N Reems Rd Ste 140
Surprise, AZ 85374-8643

Mailing address

2320 N 3Rd St
Phoenix, AZ 85004-1303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200929002707 KY Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 9234372913 Reassigns benefits to 1 organization
I20231127002035 AZ Practitioner - Colorectal Surgery (Proctology) 9234372913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Advanced Surgery LLCGroup PAC ID 0547690166, 93 clinicians

Practice addresses (Care Compare)

18715 N Reems Rd
Suite 140
Surprise, AZ 85374-8643
Phone (623) 440-6591

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70522AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc CurrentSince Oct 1, 2020 Accepting new patients
Arizona Advanced Surgery LLC Surgery CurrentSince Jan 1, 2024 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Oct 1, 2020 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients

Locations

13020 W Rancho Santa Fe Blvd
Ste 103
Avondale, AZ 85392

525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 322-0323

13555 W McDowell Rd
Ste 204
Goodyear, AZ 85395
Phone (613) 512-4326

2945 S Dobson Rd
#2320N
Mesa, AZ 85202

2320 N 3rd St
Phoenix, AZ 85004
Phone (602) 258-3262

9150 W Indian School Rd
Ste 107
Phoenix, AZ 85037
Phone (623) 266-8002

9321 W Thomas Rd
Ste 325
Phoenix, AZ 85037
Phone (623) 936-5406

18715 N Reems Rd
Ste 140
Surprise, AZ 85374
Phone (623) 310-2626

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

613 23rd St
Ste 320
Ashland, KY 41101
Phone (606) 325-1151

Interoperability endpoints

  • Direct secure messaging: gong74688@direct.kdhealth.us
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJBCD

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.

Hospital & facility affiliations 1

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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702684800000",
    "number": "1225470479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18715 N REEMS RD STE 140",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748643",
            "telephone_number": "623-440-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONG",
        "first_name": "GABIE",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2023-12-16",
        "certification_date": "2023-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "70522",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "AZ",
            "license": "70522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.