Individual provider Active NPI

Yeuk Ting Bonnie Wong, MD

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1538328075
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01068060A Issued in IN
Practice address
5550 S East St Ste C
Indianapolis, IN 46227-1991
Phone
(317) 534-4660
NPI assigned
Jun 9, 2008
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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 01068060A IN Primary

Addresses

Primary practice location

5550 S East St Ste C
Indianapolis, IN 46227-1991

Mailing address

6261 Lancaster PL
Zionsville, IN 46077-9167
Phone (317) 344-2019

Other practice location 1

1520 N Senate Ave
Indianapolis, IN 46202-2213
Phone (317) 962-8188

Other identifiers 1

IdentifierTypeStateIssuer
200990230MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100901000083 IN Practitioner - Family Practice 3072637891 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windrose Health Network IncGroup PAC ID 8426965039, 27 clinicians

Practice addresses (Care Compare)

163 Butner Dr
Hope, IN 47246-9447
Phone (812) 546-6000

5550 S E St C
Windrose Health Network Epler Parke
Indianapolis, IN 46227-1991
Phone (317) 534-4660

8921 Southpointe Dr
Suite A1
Indianapolis, IN 46227-1085
Phone (317) 884-7820

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01068060AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. Family Medicine CurrentSince Aug 1, 2010 Accepting new patients
Windrose Health Network, Inc. CurrentSince May 14, 2017 Accepting new patients
Windrose Health Network Inc CurrentSince May 14, 2017 Accepting new patients
Windrose Health Network Inc Current Accepting new patients
University Family Physicians, Inc. CurrentSince Aug 1, 2010 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jul 4, 2017 Accepting new patients
Major Hospital Past Accepting new patients
Windrose Health Network, Inc. Past Accepting new patients
Windrose Health Network, Inc. Past Accepting new patients
Windrose Health Network, Inc. Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Windrose Health Network, Inc. Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

7216 Solutions Ctr
Chicago, IL 60677

911 E Main Cross St
Edinburgh, IN 46124
Phone (317) 739-4895

55 N Milford Dr
Franklin, IN 46131
Phone (317) 648-7169

163 Butner Dr
Hope, IN 47246
Phone (812) 546-6000

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

5550 S East St
Ste C
Indianapolis, IN 46227
Phone (317) 534-4660

8921 Southpointe Dr
Ste A1
Indianapolis, IN 46227
Phone (317) 780-7400

14 Trafalgar Sq
Trafalgar, IN 46181
Phone (317) 412-9190

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1538328075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6261 LANCASTER PL",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460779167",
            "telephone_number": "317-344-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 S EAST ST STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271991",
            "telephone_number": "317-534-4660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 N Senate Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462022213",
            "country_code": "US",
            "telephone_number": "317-962-8188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "YEUK TING",
        "middle_name": "BONNIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01068060A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200990230",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.