NPIMap

Individual provider Active NPI

Adrian Wong, M.D.

  • Nephrology Physician
  • San Antonio, TX
National Provider Identifier
1487909867
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
R2502 Issued in TX
Practice address
16620 N US Highway 281 Ste 300
San Antonio, TX 78232-2679
Phone
(210) 309-1405
Fax
(210) 688-4596
NPI assigned
Jul 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 251701 MA
Nephrology Physician 207RN0300X R2502 TX Primary

Addresses

Primary practice location

16620 N US Highway 281 Ste 300
San Antonio, TX 78232-2679

Mailing address

315 N San Saba
Ste 102
San Antonio, TX 78207-3196
Phone (409) 772-0750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170517002731 TX Practitioner - NephrologyPractitioner - Internal Medicine 6305065905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renal Associates, P.a.Group PAC ID 8729070628, 40 clinicians

Practice addresses (Care Compare)

4458 Medical Dr
Suite 205
San Antonio, TX 78229-3748
Phone (210) 614-1515

Hospital & facility affiliations

  • FMC Carizzo Springs Kidney Disease Clinic Dialysis facility, Carrizo Springs, TX, CCN 452782
  • Bma Northwest Bexar County Dialysis facility, San Antonio, TX, CCN 452631
  • FMC Dialysis Services of Ingram Dialysis facility, San Antonio, TX, CCN 452865
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Dimmit Regional Hospital Hospital, Carrizo Springs, TX, CCN 451390
  • Fort Duncan Medical Center Hospital, Eagle Pass, TX, CCN 450092
  • Methodist Hospital Northeast Inpatient rehabilitation facility, Live Oak, TX, CCN 45T388

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251701MAMDInternal Medicine Physician
R2502TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SNG - Barlite San Saba Dialysis Centers LP Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: adrian.wong@ra.eclinicaldirectplus.com

Organizations & group practices 2

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 8

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": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1487909867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N SAN SABA",
            "address_2": "STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073196",
            "telephone_number": "409-772-0750",
            "fax_number": "409-747-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 N US HIGHWAY 281 STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322679",
            "telephone_number": "210-309-1405",
            "fax_number": "210-688-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-20",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "251701",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "R2502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.