NPIMap

Individual provider Active NPI

Eileen Hai Huat Wong, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Streetsboro, OH
National Provider Identifier
1275841066
Registry record updated Dec 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
35.136912 Issued in OH
Practice address
9318 State Route 14
Streetsboro, OH 44241-5224
Phone
(330) 422-7734
Fax
(330) 422-7738
NPI assigned
Sep 15, 2010
Last updated
Dec 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 35.136912 OH Primary

Addresses

Primary practice location

9318 State Route 14
Streetsboro, OH 44241-5224

Mailing address

9318 State Route 14
Streetsboro, OH 44241-5224
Phone (330) 422-7734

Other practice location 1

13221 Ravenna Rd Ste 3
Chardon, OH 44024-9016
Phone (440) 214-3117

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address eileenwong@uhpsallscriptsdirect.net
Direct Messaging Address eileenwong@uhps.allscriptsdirect.net
Direct Messaging Address eileenwong@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200217004328 OH Practitioner - Sleep Medicine 9638304116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

158 W Main Rd
Suite 203
Conneaut, OH 44030-2039
Phone (440) 285-2960

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
The Metrohealth System Current Accepting new patients
University Primary Care Practices Inc Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients
University Primary Care Practices Inc CurrentSince Apr 1, 2020 Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

9318 State Route 14
Fl 1
Streetsboro, OH 44241
Phone (330) 626-3455

Interoperability endpoints

  • Direct secure messaging: ewong143483@direct.metrohealth.org
  • Direct secure messaging: ewong36890@ehrdirect.uhhospitals.org

Organizations & group practices 5

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 8

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": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1275841066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 STATE ROUTE 14",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415224",
            "telephone_number": "330-422-7734",
            "fax_number": "330-422-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9318 STATE ROUTE 14",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415224",
            "telephone_number": "330-422-7734",
            "fax_number": "330-422-7738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13221 Ravenna Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chardon",
            "state": "OH",
            "postal_code": "440249016",
            "country_code": "US",
            "telephone_number": "440-214-3117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "EILEEN",
        "middle_name": "HAI HUAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OH",
            "license": "35.136912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eileenwong@uhpsallscriptsdirect.net",
            "affiliation": "N",
            "address_1": "9318 State Route 14",
            "city": "Streetsboro",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442415224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eileenwong@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "13221 Ravenna Rd Ste 3",
            "city": "Chardon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440249016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eileenwong@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "9318 State Route 14",
            "city": "Streetsboro",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442415224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Streetsboro, OH

Sources for this page

Verify at the official NPI Registry.