Individual provider Active NPI

Kin Wong, MD

  • Diagnostic Radiology Physician
  • Dayton, OH
National Provider Identifier
1336149285
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35068179 Issued in OH
Practice address
1 Wyoming St
Dayton, OH 45409-2722
Phone
(937) 208-3118
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35068179 OH Primary

Addresses

Primary practice location

1 Wyoming St
Dayton, OH 45409-2722

Mailing address

PO Box 750243
Dayton, OH 45475-0243
Phone (937) 709-5051

Other identifiers 1

IdentifierTypeStateIssuer
0152721MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040526000490 OH Practitioner - Diagnostic Radiology 2264333129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Perelman School of Med at the University of Pennsylvania, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Physicians IncGroup PAC ID 9537060470, 62 clinicians

Practice addresses (Care Compare)

1365 Eden Meadows Way
Dayton, OH 45440-4096
Phone (937) 208-8000

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079

Merit-based Incentive Payment System (MIPS)

Final score
76.49 of 100Reported as group
Quality
68.11
Improvement activities
40
Cost
80.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35068179OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Physicians Inc Diagnostic Radiology CurrentSince Jan 1, 2000 Accepting new patients
Miami Valley Hospital Past Accepting new patients

Locations (25 of 31)

1244 Meadow Bridge Dr
Beavercreek, OH 45434
Phone (937) 222-3118

2400 Lakeview Dr
Ste 100
Beavercreek, OH 45431
Phone (937) 429-4369

2300 Miami Valley Dr
Ste 150
Centerville, OH 45459
Phone (937) 280-8366

2400 Miami Valley Dr
Ste 210
Centerville, OH 45459

2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394

1520 S Main St
Dayton, OH 45409
Phone (937) 223-1279

1530 Needmore Rd
Ste 301
Dayton, OH 45414
Phone (937) 938-9960

2300 Miami Valley Dr
Ste 350
Dayton, OH 45459
Phone (937) 424-2469

1222 S Patterson Blvd
Ste 360
Dayton, OH 45402
Phone (937) 496-2620

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

9000 N Main St
Ste 333
Englewood, OH 45415
Phone (937) 832-8400

9000 N Main St
Ste 100
Englewood, OH 45415

9000 N Main St
Ste G
Englewood, OH 45415

9000 N Main St
Ste G-36
Englewood, OH 45415
Phone (937) 832-1093

742 Sweitzer St
Ste 3
Greenville, OH 45331
Phone (937) 459-5941

4940 Cottonville Rd
Jamestown, OH 45335
Phone (937) 298-4417

3120 Governors Place Blvd
Kettering, OH 45409
Phone (937) 208-6066

300 Austin West Blvd
Miamisburg, OH 45342
Phone (937) 388-7911

501 Atrium Dr
Middletown, OH 45005
Phone (937) 245-6320

4214 Grand Ave
Middletown, OH 45044
Phone (513) 727-8860

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

35 Overbrook Dr
Ste 100
Monroe, OH 45050
Phone (513) 539-7356

280 Looney Rd
Piqua, OH 45356
Phone (937) 440-4000

630 N Main St
Springboro, OH 45066
Phone (937) 748-4211

360 W Central Ave
Springboro, OH 45066
Phone (937) 208-7100

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 5

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1336149285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750243",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454750243",
            "telephone_number": "937-709-5051",
            "fax_number": "937-709-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "937-208-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35068179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0152721",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.