Individual provider Active NPI

Russell Wong, M.D.

  • Infectious Disease Physician
  • Honolulu, HI
National Provider Identifier
1376573808
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
7430 Issued in HI
Practice address
321 N Kuakini St
Honolulu, HI 96817-2364
Phone
(808) 536-0314
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 7430 HI Primary
Internal Medicine Physician 207R00000X DR.0074602 CO

Addresses

Primary practice location

321 N Kuakini St
Honolulu, HI 96817-2364

Mailing address

PO Box 25370
Honolulu, HI 96825-0370
Phone (808) 536-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA, WY, CO4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20060104000603 HI Practitioner - Internal MedicinePractitioner - Infectious Disease 1153212329 Reassigns benefits to 1 organization
I20200228002213 CA Practitioner - Internal Medicine 1153212329 Reassigns benefits to 1 organization
I20230404001898 WY Practitioner - Internal Medicine 1153212329 Reassigns benefits to 3 organizations
I20260113002597 CO Practitioner - Internal Medicine 1153212329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Health System IncGroup PAC ID 5890699326, 51 clinicians

Practice addresses (Care Compare)

1311 N Mildred Rd
Cortez, CO 81321-2231
Phone (970) 565-6666

Hospital & facility affiliations

  • Southwest Memorial Hospital Hospital, Cortez, CO, CCN 061327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0074602COMDInternal Medicine Physician
7430HIMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverton Physician Practices LLC CurrentSince Dec 23, 2023 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC Current Accepting new patients
Southwest Health System, Inc. CurrentSince Nov 6, 2025 Accepting new patients
Lander Valley Physician Practices, LLC Internal Medicine CurrentSince Dec 23, 2023 Accepting new patients
Riverton Physician Practices, LLC Current Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Jan 3, 2023 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Jan 3, 2023 Accepting new patients
Sound Physicians of Wyoming, LLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Southwest Health System Inc CurrentSince Nov 6, 2025 Accepting new patients
Riverton Physician Practices LLC CurrentSince Dec 23, 2023 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Otsuka Eye Care LLC PastSince Sep 1, 2017 Accepting new patients

Locations

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

1311 N Mildred Rd
Cortez, CO 81321
Phone (970) 565-6666

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

85 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 442-5700

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

1320 Bishop Randall Dr
Lander, WY 82520
Phone (307) 332-4420

1005 College View Dr
Riverton, WY 82501
Phone (307) 857-3486

2100 W Sunset Dr
Riverton, WY 82501
Phone (307) 856-4161

Interoperability endpoints

  • Direct secure messaging: rwong563544@hisp.ehr.sutterhealth.org

Organizations & group practices 12

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 3

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1376573808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25370",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968250370",
            "telephone_number": "808-536-0300",
            "fax_number": "808-536-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-536-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "RUSSELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "HI",
            "license": "7430",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0074602",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.