Individual provider Active NPI

Simon CHI-Hin Wong, D.O., M.B.A., M.M.

  • Internal Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1548411457
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS10509 Issued in FL
Practice address
9750 NW 33Rd St Ste 210
Coral Springs, FL 33065-4081
Phone
(954) 603-5508
Fax
(954) 603-1038
NPI assigned
Oct 9, 2008
Last updated
Aug 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS10509 FL Primary

Addresses

Primary practice location

9750 NW 33Rd St Ste 210
Coral Springs, FL 33065-4081

Mailing address

9750 NW 33Rd St Ste 210
Coral Springs, FL 33065-4081
Phone (954) 603-5508

Other practice location 1

2901 Coral Hills Dr
Suite 250
Coral Springs, FL 33065-4146
Phone (954) 603-5508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100925000200 FL Practitioner - Internal Medicine 5991821142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9750 NW 33Rd St
Suite 206
Coral Springs, FL 33065-4019
Phone (954) 603-5508

9750 NW 33Rd St
Suite 210
Coral Sprimgs, FL 33065-4146

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Business Administration

State licenses

LicenseStateTypeSpecialty
OS10509FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Broward Hospitalist Inc Internal Medicine CurrentSince Mar 1, 2012 Accepting new patients
Wellcare Medical Clinic LLC Internal Medicine CurrentSince May 4, 2011 Accepting new patients

Locations

2901 Coral Hills Dr
Ste 250
Coral Springs, FL 33065
Phone (954) 603-5508

9750 NW 33rd St
Ste 206
Coral Springs, FL 33065
Phone (954) 603-5508

9750 NW 33rd St
Ste 210
Coral Springs, FL 33065
Phone (954) 603-5508

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1548411457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 NW 33RD ST STE 210",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654081",
            "telephone_number": "954-603-5508",
            "fax_number": "954-603-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 NW 33RD ST STE 210",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654081",
            "telephone_number": "954-603-5508",
            "fax_number": "954-603-1038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Coral Hills Dr",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330654146",
            "country_code": "US",
            "telephone_number": "954-603-5508",
            "fax_number": "954-603-1038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "SIMON",
        "middle_name": "CHI-HIN",
        "name_prefix": "Dr.",
        "credential": "D.O., M.B.A., M.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-09",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS10509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.