NPIMap

Individual provider Active NPI

Willie C Teo Ong, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Brownsville, TX
National Provider Identifier
1346247939
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
K1094 Issued in TX
Practice address
844 Central Blvd Ste 280
Brownsville, TX 78520-7512
Phone
(956) 281-0945
NPI assigned
Jun 28, 2005
Reactivated
Mar 31, 2006
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X K1094 TX Primary

Addresses

Primary practice location

844 Central Blvd Ste 280
Brownsville, TX 78520-7512

Mailing address

7624 Warren Pkwy
Frisco, TX 75034-4158

Other practice location 1

1040 W Jefferson St
Brownsville, TX 78520-6338
Phone (956) 281-0945

Other identifiers 1

IdentifierTypeStateIssuer
166405401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040803001758 TX Practitioner - Endocrinology 6608847629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

1040 W Jefferson St
Brownsville, TX 78520-6338
Phone (956) 698-5557

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Institute of Brownsville,LLP CurrentSince Sep 30, 2019 Accepting new patients
BHS Physicians Network, Inc CurrentSince Nov 5, 2020 Accepting new patients
BHS Physicians Network, Inc CurrentSince Nov 5, 2020 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

1040 W Jefferson St
Brownsville, TX 78520
Phone (956) 423-4589

213 Heart Dr
Brownsville, TX 78520
Phone (956) 280-5667

844 Central Blvd
Ste 280
Brownsville, TX 78520
Phone (956) 281-0945

844 Central Blvd
Ste 370
Brownsville, TX 78520
Phone (956) 544-0755

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: willie.teo.ong.1@1438.direct.athenahealth.com

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 4

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1346247939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7624 WARREN PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 CENTRAL BLVD STE 280",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207512",
            "telephone_number": "956-281-0945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 W Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785206338",
            "country_code": "US",
            "telephone_number": "956-281-0945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEO ONG",
        "first_name": "WILLIE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "K1094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166405401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.