Kevin Wong, DO

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

20A16184 Issued in CA

Practice address

415 S Palm Canyon Dr Ste 200
Palm Springs, CA 92262-7303

Phone

(760) 568-2684

Fax

(760) 341-5832

NPI assigned

Mar 21, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Pain Management

Education

Philadelphia College of Osteopathic Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desert Orthopedic Center a Medical Group IncGroup PAC ID 2466346739, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Desert Home Health Services, Inc Home health agency, Palm Springs, CA, CCN 058150
• Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573
• Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327

Merit-based Incentive Payment System (MIPS)

Final score

82.54 of 100Reported as group

Quality

77.5

Promoting interoperability

99

Improvement activities

40

Cost

65.14

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Desert Orthopedic Center a Medical Group Inc

  • Orthopaedic Surgery Physician
  • Rancho Mirage, CA
  • NPI 1508967753
  Medicare reassignment Care Compare group
• Desert Orthopedic Center a Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Palm Springs, CA
  • NPI 1780220954
  NPD (past)
• Eisenhower Medical Center

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Desert Home Health Services, Inc.

  • Home Health Agency
  • Palm Springs, CA
  • NPI 1740287697
  Care Compare affiliation
• Eisenhower Medical Center

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  Care Compare affiliation
• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1457693038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1730",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701058",
            "telephone_number": "760-568-2684",
            "fax_number": "760-341-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S PALM CANYON DR STE 200",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627303",
            "telephone_number": "760-568-2684",
            "fax_number": "760-341-5832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr, Hirschberg Blg, Ste 310",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703267",
            "country_code": "US",
            "telephone_number": "760-568-2684",
            "fax_number": "760-341-5832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "KEVIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-21",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "20A16184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwong90856@edirect.emc.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "39700 Bob Hope Dr Ste 310",
            "city": "Rancho Mirage",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922703267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Michael Wolgin, PH.D.
• Margaret Mary Wolohan, IMF
• David Wong, M.D.
• Douglas Wong, CMT
• Gustavo C. Wong, RDN, CDE, EP-C
• Dennis Michael Woo
• Jin Woo, LAC
• Lauren Wood, PHARMD
• Jami R Woods, MD
• Alma L Wooten, ACSW

• Pain Medicine Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.