Lisa Wong, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

11698 Issued in NV

Practice address

2020 Palomino LN
Ste 100
Las Vegas, NV 89106-4894

Phone

(702) 759-8600

Fax

(702) 384-1815

NPI assigned

Jul 12, 2006

Last updated

Feb 10, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Diagnostic Radiology

Education

University of Nevada School of Medicine, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Shelin Agrawal and Hyer PLLCGroup PAC ID 5890955959, 65 clinicians

Ellis Bandt Birkin Kollins and Wong PLLCGroup PAC ID 4486568946, 68 clinicians

Radiology Specialists LTD Marasso-MillerGroup PAC ID 0143110874, 136 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041
• Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046
• Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039
• Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054
• Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lwong18500@direct.umcsn.com

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.

• Ellis Bandt Birkin Kollins & Wong PLLC

  dba Desert Radiology

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1578584678
  Medicare reassignment Care Compare group NPD
• Radiology Specialists LTD Marasso-Miller

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1437196979
  Medicare reassignment Care Compare group NPD
• Shelin Agrawal and Hyer PLLC

  dba Desert Radiology Solutions

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1861783961
  Medicare reassignment Care Compare group NPD
• Optum Medical Group II Rhodes P C

  dba Southwest Medical

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1790329407
  Medicare reassignment NPD
• Optum Medical Group Rhodes P C

  dba Optumcare Anesthesia

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1770556037
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centennial Hills Hospital Medical Center

  dba ER at Valley Vista

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1295319085

  Hospital

  Care Compare affiliation
• Centennial Hills Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1487771812
  Care Compare affiliation
• Centennial Hills Hospital Medical Center

  dba ER at West Craig Road

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1942991245

  Hospital

  Care Compare affiliation
• Spring Valley Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1346230323
  Care Compare affiliation
• Spring Valley Medical Center

  dba ER at Blue Diamond

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1588219117

  Hospital

  Care Compare affiliation
• Spring Valley Medical Center

  dba Valley Health Specialty Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1982289690
  Care Compare affiliation
• Summerlin Hospital Medical Center L L C

  dba Summerlin Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831189638
  Care Compare affiliation
• Summerlin Hospital Medical Center L L C

  dba ER at South Summerlin, Extension of Summerlin Hospital

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1861234619

  Hospital

  Care Compare affiliation
• Sunrise Hospital and Medical Center, LLC

  dba Sunrise Hospital and Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1861439952
  Care Compare affiliation
• Sunrise Mountainview Hospital, Inc.

  dba Mountainview Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1104870187
  Care Compare affiliation

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1578588588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 PALOMINO LN",
            "address_2": "# 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064894",
            "telephone_number": "702-759-8600",
            "fax_number": "702-384-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 PALOMINO LN",
            "address_2": "STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064894",
            "telephone_number": "702-759-8600",
            "fax_number": "702-384-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "LISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "11698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200471340A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01168784",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578588588",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507936",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrina Wong, DO
• Kaylee Wong
• Kenneth Wong, PHARMD.
• Kwok Lun Wong, MD
• Lily W. Wong, D.O.
• Lok Tim Angel Wong, MS, RDN, LDN, CDCES
• Lourdes Wong, MS, NCC, CPC-I
• Maegan Kayla Wong
• Mankei Rebecca Wong, DMD
• Marsha Wong

• Diagnostic Radiology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Diagnostic Radiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.