Individual provider Active NPI

Sharon Tong, MD

  • Internal Medicine Physician
  • Edgewood, WA
National Provider Identifier
1578430591
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MDCE.ML.70052277 Issued in WA
Practice address
2222 Meridian Ave E Ste a
Edgewood, WA 98371-1032
Phone
(206) 407-4171
Fax
(253) 294-7069
NPI assigned
Oct 22, 2025
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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 MDCE.ML.70052277 WA Primary

Addresses

Primary practice location

2222 Meridian Ave E Ste a
Edgewood, WA 98371-1032

Mailing address

2222 Meridian Ave E Ste a
Edgewood, WA 98371-1032
Phone (206) 407-4171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20260114000232 WA Practitioner - Geriatric Medicine 6204312887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rejuvenation Medical PLLCGroup PAC ID 4880083062, 11 clinicians

Practice addresses (Care Compare)

12844 Military Rd S
Tukwila, WA 98168-3045
Phone (206) 407-4171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDCE.ML.70052277WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuvenation Medical PLLC CurrentSince Oct 22, 2025 Accepting new patients

Locations

2222 Meridian Ave E
Ste A
Edgewood, WA 98371
Phone (206) 407-4171

7500 Seward Park Ave S
Seattle, WA 98118
Phone (206) 725-8800

12844 Military Rd S
Tukwila, WA 98168
Phone (206) 244-0180

Organizations & group practices 1

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": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1578430591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 MERIDIAN AVE E STE A",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983711032",
            "telephone_number": "206-407-4171",
            "fax_number": "253-294-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 MERIDIAN AVE E STE A",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983711032",
            "telephone_number": "206-407-4171",
            "fax_number": "253-294-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONG",
        "first_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-22",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MDCE.ML.70052277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, WA

Sources for this page

Verify at the official NPI Registry.