Individual provider Active NPI

Waikeong Wong, M.D., PH.D.

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1396057576
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A132901 Issued in CA
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Jul 5, 2010
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A132901 CA Primary
Diagnostic Radiology Physician 2085R0202X ME128103 FL
Diagnostic Radiology Physician 2085R0202X 286465 MA

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301

Other practice location 1

88 Washington St
Taunton, MA 02780-2465
Phone (508) 828-7000

Other practice location 2

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, SC, NH, IL4 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
I20150605000013 CA Practitioner - Diagnostic Radiology 3476874280 Reassigns benefits to 14 organizations
I20170412001132 SC Practitioner - Diagnostic Radiology 3476874280 Reassigns benefits to 1 organization
I20210601001205 NH Practitioner - Diagnostic Radiology 3476874280 Reassigns benefits to 1 organization
I20230522001216 IL Practitioner - Diagnostic Radiology 3476874280 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crouse Radiology Associates LLPGroup PAC ID 1850387648, 105 clinicians
Virtual Radiologic Professionals of California PAGroup PAC ID 7719989342, 55 clinicians

Practice addresses (Care Compare)

105 Mighty Oak
Irvine, CA 92602-1815
Phone (315) 234-7600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A132901CAMDDiagnostic Radiology Physician
ME128103FLMDDiagnostic Radiology Physician
286465MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Jul 23, 2016 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Littleton Hospital Association Current Accepting new patients
Lifespan of Massachusetts - Taunton Inc CurrentSince Jul 28, 2025 Accepting new patients
Brooklyn Hospital Radiology P C Diagnostic Radiology CurrentSince Feb 25, 2022 Accepting new patients
Coast Radiology Imaging and Intervention Inc Diagnostic Radiology CurrentSince Apr 1, 2016 Accepting new patients
Crouse Radiology Associates LLP Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Medical Imaging Center LLP CurrentSince Feb 22, 2025 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Englewood Radiologic Group P a Diagnostic Radiology CurrentSince Mar 5, 2021 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jul 23, 2016 Accepting new patients
Lifespan of Massachusetts - Taunton Inc CurrentSince Jul 24, 2025 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Current Accepting new patients
Donalsonville Hospital Inc CurrentSince Sep 1, 2021 Accepting new patients
Kirby Medical Center Current Accepting new patients
Virtual Radiologic Professionals of California, P.a Diagnostic Radiology CurrentSince Aug 22, 2016 Accepting new patients
Red River Consultants, Inc Diagnostic Radiology CurrentSince Sep 29, 2017 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Self Regional Healthcare Partners Diagnostic Radiology Current Accepting new patients
The Carle Foundation Hospital Past Accepting new patients
Richland Memorial Hospital, Inc Past Accepting new patients
Carle Health Care Incorporated Past Accepting new patients
Carle Eureka Hospital Past Accepting new patients
Virtual Radiologic Professionals of Texas I, P.a. Diagnostic Radiology Past Accepting new patients
The Brooklyn Hospital Center Past Accepting new patients
Carle West Physician Group Inc Past Accepting new patients
Hoopeston Community Memorial Hospital Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
University of California Irvine Past Accepting new patients
Hoopeston Community Memorial Hospital Past Accepting new patients
Summit Medical Group, Inc Past Accepting new patients
Littleton Hospital Association Past Accepting new patients
Sutter East Bay Medical Foundation Diagnostic Radiology Past Accepting new patients
Vitalmd Group Holding LLC Diagnostic Radiology Past Accepting new patients
Carle Bromenn Medical Center Past Accepting new patients

Locations

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

Dept LA 21789
Pasadena, CA 91185
Phone (949) 364-7744

102 Hospital Cir
Donalsonville, GA 39845
Phone (229) 524-8489

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

Organizations & group practices 41

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.

View all 41

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": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1396057576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Washington St",
            "address_purpose": "LOCATION",
            "city": "Taunton",
            "state": "MA",
            "postal_code": "027802465",
            "country_code": "US",
            "telephone_number": "508-828-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-340-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "WAIKEONG",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-05",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A132901",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME128103",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "286465",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.