Individual provider Active NPI

Michael David Wong, M.D.

  • Emergency Medicine Physician
  • Rockville, MD
National Provider Identifier
1376782201
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
295635 Issued in NY
Practice address
751 Rockville Pike
Suite 13 a
Rockville, MD 20852
Phone
(301) 738-6880
NPI assigned
Feb 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q4345 TX
Emergency Medicine Physician 207P00000X 35.139318 OH
Family Medicine Physician 207Q00000X D0068980 MD
Emergency Medicine Physician 207P00000X 295635 NY Primary

Addresses

Primary practice location

751 Rockville Pike
Suite 13 a
Rockville, MD 20852

Mailing address

751 Rockville Pike
Suite 13 a
Rockville, MD 20852
Phone (301) 738-6880

Other practice location 1

99 E State St
Gloversville, NY 12078-1293
Phone (518) 725-8621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, IN, KY, NY, OH6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20090811000097 MD Practitioner - Family Practice 9335293364 Reassigns benefits to 1 organization
I20091020000152 DC Practitioner - Family PracticePractitioner - Emergency Medicine 9335293364 Reassigns benefits to 3 organizations
I20170908002561 IN Practitioner - Emergency MedicinePractitioner - Family Practice 9335293364 Reassigns benefits to 2 organizations
I20171103002359 KY Practitioner - Family PracticePractitioner - Emergency Medicine 9335293364 Reassigns benefits to 2 organizations
I20180927001959 NY Practitioner - Family Practice 9335293364 Reassigns benefits to 4 organizations
I20200701001057 OH Practitioner - Emergency MedicinePractitioner - Family Practice 9335293364 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knox Emergency Services LLCGroup PAC ID 0042113862, 9 clinicians
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians
Gloversville Emergency Medicine Services PCGroup PAC ID 7517107881, 15 clinicians

Practice addresses (Care Compare)

1330 Coshocton Ave
Mount Vernon, OH 43050-1440
Phone (740) 393-9000

4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813

55 Foundation Dr
Flemingsburg, KY 41041-9815
Phone (606) 849-5000

751 Rockville Pike
13A
Rockville, MD 20852-1129
Phone (301) 738-6880

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5780

Hospital & facility affiliations

  • Nathan Littauer Hospital Hospital, Gloversville, NY, CCN 330276
  • T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017
  • Terre Haute Regional Hospital Hospital, Terre Haute, IN, CCN 150046
  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • Knox Community Hospital Hospital, Mount Vernon, OH, CCN 360040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
295635NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Family Medicine CurrentSince Jun 4, 2015 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Jul 18, 2022 Accepting new patients
Emergency Care Services of New York, P.C. Emergency Medicine CurrentSince Sep 25, 2019 Accepting new patients
Privia Care Center LLC CurrentSince Oct 4, 2018 Accepting new patients
Hles of Ohio Inc Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 4, 2015 Accepting new patients
Hles of Ohio, Inc. Emergency Medicine Current Accepting new patients
Gloversville Emergency Medicine Services PC Emergency Medicine CurrentSince Nov 12, 2019 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
St. Mary'S Healthcare CurrentSince Jul 1, 2019 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Nov 1, 2017 Accepting new patients
Privia Care Center LLC CurrentSince Oct 4, 2018 Accepting new patients
Urgent Care Services Southeast PSC Family Medicine CurrentSince Jun 10, 2024 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Sep 10, 2018 Accepting new patients
St Marys Healthcare CurrentSince Jul 1, 2019 Accepting new patients
Upper Chesapeake Emergency Medicine Physicians, LLC Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Hles of Ohio Inc Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
Capitol Cardiology Associates, LLC Current Accepting new patients
Knox Emergency Services, LLC Emergency Medicine CurrentSince Jan 28, 2022 Accepting new patients
Emergency Medicine Services of in, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Memn Hospitalists, LLC Emergency Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations (25 of 28)

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

15001 Health Center Dr
Bowie, MD 20716
Phone (301) 262-5511

6955 Oakland Mills Rd
Ste N
Columbia, MD 21045
Phone (410) 290-9990

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

7300 Van Dusen Rd
Laurel, MD 20707
Phone (301) 725-4300

751 Rockville Pike
Ste 13A
Rockville, MD 20852
Phone (301) 738-6880

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

4950 State Highway 30
Amsterdam, NY 12010
Phone (518) 770-7557

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

84 E State St
Gloversville, NY 12078
Phone (518) 332-4336

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

Interoperability endpoints

  • Direct secure messaging: mwong@4bcd5450.micromddirect.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 9

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": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1376782201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 ROCKVILLE PIKE",
            "address_2": "SUITE 13 A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "301-738-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 ROCKVILLE PIKE",
            "address_2": "SUITE 13 A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "301-738-6880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 E State St",
            "address_purpose": "LOCATION",
            "city": "Gloversville",
            "state": "NY",
            "postal_code": "120781293",
            "country_code": "US",
            "telephone_number": "518-725-8621",
            "fax_number": "518-773-5669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-17",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q4345",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.139318",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0068980",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "295635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.