Individual provider Active NPI

Stephanie Erin Wong, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Francisco, CA
National Provider Identifier
1609286343
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A138983 Issued in CA
Practice address
1500 Owens St
San Francisco, CA 94158-2334
Phone
(415) 353-1541
NPI assigned
May 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 01081647A IN
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 036148024 IL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A138983 CA Primary

Addresses

Primary practice location

1500 Owens St
San Francisco, CA 94158-2334

Mailing address

500 Parnassus Ave # Mu320W
San Francisco, CA 94143-2203
Phone (415) 476-8944

Other practice location 1

1611 W Harrison St Ste 400
Chicago, IL 60612
Phone (708) 236-2600

Other practice location 2

1611 W Harrison St Ste 400
Chicago, IL 60612
Phone (708) 236-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200820001734 CA Practitioner - Orthopedic Surgery 4688966096 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, Davis School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

1600 Divisadero St
San Francisco, CA 94115-3010
Phone (415) 476-1000

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020

400 Parnassus Ave
San Francisco, CA 94143-2202

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A138983CAMDSports Medicine (Orthopaedic Surgery) Physician
036148024ILMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Aug 17, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 17, 2020 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Aug 17, 2020 Accepting new patients
University of California San Francisco CurrentSince Aug 17, 2020 Accepting new patients
Rush University Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

1500 Owens St
#119
San Francisco, CA 94158

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

1500 Owens St
Ste 119
San Francisco, CA 94158

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

1500 Owens St
San Francisco, CA 94158
Phone (415) 353-2808

500 Parnassus Ave
#320W
San Francisco, CA 94143
Phone (415) 476-6043

Interoperability endpoints

  • Direct secure messaging: swong58583@direct-ucsfmedicalcenter.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1399075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1609286343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PARNASSUS AVE # MU320W",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432203",
            "telephone_number": "415-476-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OWENS ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582334",
            "telephone_number": "415-353-1541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 W Harrison St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60612",
            "country_code": "US",
            "telephone_number": "708-236-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 W Harrison St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60612",
            "country_code": "US",
            "telephone_number": "708-236-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "STEPHANIE",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-03",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IN",
            "license": "01081647A",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IL",
            "license": "036148024",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A138983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.