Individual provider Active NPI

Michaela Hyunjoo Tong, M.D.

  • Family Medicine Physician
  • Hayward, WI
National Provider Identifier
1528044401
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
64505-20 Issued in WI
Practice address
15954 Rivers Edge Dr
Hayward, WI 54843-7800
Phone
(715) 634-2541
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 64505-20 WI Primary

Addresses

Primary practice location

15954 Rivers Edge Dr
Hayward, WI 54843-7800

Mailing address

15954 Rivers Edge Dr Ste 101
Hayward, WI 54843-7887
Phone (715) 634-2541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20150831002188 WI Practitioner - Family Practice 2163423476 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians
The Lakes Community Health Center IncGroup PAC ID 0840366654, 104 clinicians

Practice addresses (Care Compare)

112 Ash St
Spooner, WI 54801-1487
Phone (715) 635-3979

15954 Rivers Edge Dr
Hayward, WI 54843-7800
Phone (715) 634-2541

300 Main St W
Ashland, WI 54806-3696
Phone (715) 685-2200

7665 US Hwy 2
Iron River, WI 54847-4690
Phone (715) 372-5001

Hospital & facility affiliations

  • Tamarack Health Hayward Medical Center Hospital, Hayward, WI, CCN 521336

Merit-based Incentive Payment System (MIPS)

Final score
90.56 of 100Reported as group
Quality
87.43
Promoting interoperability
100
Improvement activities
40
Cost
78.24

Merit-based Incentive Payment System (MIPS)

Final score
86.19 of 100Reported as group
Quality
74.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35445TNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients
Marshfield Clinic Inc CurrentSince Sep 14, 2015 Accepting new patients
The Lakes Community Health Center, Inc CurrentSince Mar 28, 2024 Accepting new patients
The Lakes Community Health Center, Inc CurrentSince Mar 28, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients
University of Tennessee Family Medicine Past Accepting new patients
The Lakes Community Health Center, Inc Past Accepting new patients
Cigna Healthcare of Arizona, Inc. Past Accepting new patients
University of Tennessee Past Accepting new patients

Locations

300 Main St W
Ashland, WI 54806
Phone (715) 685-2200

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

15954 Rivers Edge Dr
Hayward, WI 54843

15954 Rivers Edge Dr
Ste 101
Hayward, WI 54843

7665 US Highway 2
Iron River, WI 54847
Phone (715) 372-5001

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

Interoperability endpoints

  • Direct secure messaging: mtong696566@direct.ochin.org

Organizations & group practices 9

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 1

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1528044401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15954 RIVERS EDGE DR STE 101",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548437887",
            "telephone_number": "715-634-2541",
            "fax_number": "715-634-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15954 RIVERS EDGE DR",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548437800",
            "telephone_number": "715-634-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONG",
        "first_name": "MICHAELA",
        "middle_name": "HYUNJOO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "64505-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, WI

Sources for this page

Verify at the official NPI Registry.