Individual provider Active NPI

Melvin C W Wong, MD

  • Vascular Neurology Physician
  • Aiea, HI
National Provider Identifier
1447393939
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
6869 Issued in HI
Practice address
98-1247 Kaahumanu St Ste 318
Aiea, HI 96701-5301
Phone
(808) 487-7960
Fax
(808) 488-6737
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 6869 HI
Vascular Neurology Physician 2084V0102X 6869 HI Primary

Addresses

Primary practice location

98-1247 Kaahumanu St Ste 318
Aiea, HI 96701-5301

Mailing address

98-1247 Kaahumanu St Ste 318
Aiea, HI 96701-5301
Phone (808) 487-7960

Other identifiers 2

IdentifierTypeStateIssuer
059454-01MedicaidHI
H50087OtherHIMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20060116000026 HI Practitioner - Neurology 5294759437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Hawaii John a. Burns School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

98 -1247 Kaahumanu St
Suite 318
Aiea, HI 96701-5301
Phone (808) 487-7960

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6869HIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Melvin C. W. Wong M, D, Inc. CurrentSince Jun 1, 2015 Accepting new patients

Locations

98-1247 Kaahumanu St
Ste 318
Aiea, HI 96701
Phone (808) 487-7960

Interoperability endpoints

  • Direct secure messaging: melvin.wong@hawaiihie.medicity.net

Organizations & group practices 1

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 2

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1447393939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST STE 318",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015301",
            "telephone_number": "808-487-7960",
            "fax_number": "808-488-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST STE 318",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015301",
            "telephone_number": "808-487-7960",
            "fax_number": "808-488-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "MELVIN",
        "middle_name": "C W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "HI",
            "license": "6869",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "HI",
            "license": "6869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059454-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "H50087",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.