Individual provider Active NPI

Daniel Fong, M.D.

  • Emergency Medicine Physician
  • Amarillo, TX
National Provider Identifier
1598197840
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
23355 Issued in NV
Practice address
1600 Wallace Blvd
Amarillo, TX 79106
Phone
(806) 212-2000
NPI assigned
Aug 8, 2013
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 56463 CO
Emergency Medicine Physician 207P00000X R4547 TX
Emergency Medicine Physician 207P00000X 23355 NV Primary

Addresses

Primary practice location

1600 Wallace Blvd
Amarillo, TX 79106

Mailing address

8300 W 38TH Ave
Wheat Ridge, CO 80033-6005
Phone (303) 425-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, WA, NV, LA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20151026000767 CA Practitioner - Emergency Medicine 1951615715 Reassigns benefits to 1 organization
I20171214002246 TX Practitioner - Emergency Medicine 1951615715 Reassigns benefits to 1 organization
I20230901003348 WA Practitioner - Emergency Medicine 1951615715 Reassigns benefits to 1 organization
I20240506004402 NV Practitioner - Emergency Medicine 1951615715 Reassigns benefits to 1 organization
I20240521000289 LA Practitioner - Emergency Medicine 1951615715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Toledo College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 731-8585

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134067CAMDClinical Social Worker
56463COMDEmergency Medicine Physician
23355NVMDEmergency Medicine Physician
R4547TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Acs Primary Care Physicians Louisiana PC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Sep 1, 2023 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Sep 1, 2023 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine Current Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9004

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500

9075 Blue Diamond Rd
Las Vegas, NV 89178
Phone (702) 916-5000

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

9860 W Skye Cyn Dr
Las Vegas, NV 89166

7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

1600 Wallace Blvd
#H
Amarillo, TX 79106
Phone (806) 212-2000

22430 Grand Corner Dr
Katy, TX 77494
Phone (281) 371-1800

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

Interoperability endpoints

  • Direct secure messaging: dfong99362@ahs.direct-ci.com

Organizations & group practices 10

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 2

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": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1598197840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336005",
            "telephone_number": "303-425-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79106",
            "telephone_number": "806-212-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-08",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "56463",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R4547",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "23355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.