Individual provider Active NPI

Darrell W Wong, MD

  • Allergy & Immunology Physician
  • Chandler, AZ
National Provider Identifier
1265446686
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
28509 Issued in AZ
Practice address
705 S Dobson Rd
Chandler, AZ 85224-5657
Phone
(480) 897-6992
Fax
(480) 839-1874
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 28509 AZ Primary
Allergy & Immunology Physician 207K00000X A61833 CA

Addresses

Primary practice location

705 S Dobson Rd
Chandler, AZ 85224-5657

Mailing address

705 S Dobson Rd
Chandler, AZ 85224-5657
Phone (480) 897-6992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20041012001057 AZ Practitioner - Allergy/Immunology 9032179387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Chicago College of Medicine and Surgery, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Allergy Asthma and Immunology Consultants PLCGroup PAC ID 6002879194, 11 clinicians

Practice addresses (Care Compare)

36245 N Gantzel Rd
BLDG 6
San Tan Valley, AZ 85140-7315
Phone (480) 897-6992

4852 E Baseline Rd
Suite 101
Mesa, AZ 85206-4628
Phone (480) 897-6992

705 S Dobson Rd
Chandler, AZ 85224-5657
Phone (480) 897-6992

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
51.94 of 100Reported as individual
Quality
0
Improvement activities
40
Cost
73.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28509AZMDAllergy & Immunology Physician
A61833CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Allergy Asthma & Immunology Consultants PLC Allergy & Immunology CurrentSince May 1, 2004 Accepting new patients
Valley Allergy PLLC Allergy & Immunology PastSince Feb 1, 2024 Accepting new patients

Locations

705 S Dobson Rd
Chandler, AZ 85224
Phone (480) 897-6992

4852 E Baseline Rd
Ste 101
Mesa, AZ 85206
Phone (480) 346-4680

348 E Virginia Ave
Phoenix, AZ 85004
Phone (480) 702-2020

21321 E Ocotillo Rd
Queen Creek, AZ 85142
Phone (480) 274-0524

21321 E Ocotillo Rd
Ste 128
Queen Creek, AZ 85142
Phone (480) 897-6992

36245 N Gantzel Rd
Bldg 6
San Tan Valley, AZ 85140
Phone (480) 897-6992

8140 E Cactus Rd
Ste 710
Scottsdale, AZ 85260
Phone (480) 344-4460

Interoperability endpoints

  • Direct secure messaging: darrell.wong@aza.eclinicaldirectplus.com

Organizations & group practices 2

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.

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1265446686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245657",
            "telephone_number": "480-897-6992",
            "fax_number": "480-839-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245657",
            "telephone_number": "480-897-6992",
            "fax_number": "480-839-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "DARRELL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "AZ",
            "license": "28509",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A61833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.