Individual provider Active NPI

Ka C Wong, M.D.

  • Cardiovascular Disease Physician
  • El Paso, TX
National Provider Identifier
1629005400
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G2887 Issued in TX
Practice address
1250 E Cliff Dr Ste 3D
El Paso, TX 79902-4847
Phone
(915) 857-4130
Fax
(915) 857-4135
NPI assigned
Jun 27, 2006
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G2887 TX
Cardiovascular Disease Physician 207RC0000X G2887 TX Primary
Interventional Cardiology Physician 207RI0011X G2887 TX

Addresses

Primary practice location

1250 E Cliff Dr Ste 3D
El Paso, TX 79902-4847

Mailing address

3270 Joe Battle Blvd Ste 380
El Paso, TX 79938-2649
Phone (915) 592-8013

Other practice location 1

1400 George Dieter Dr
suite 130
El Paso, TX 79936-7601
Phone (915) 592-8013

Other practice location 2

4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5200

Other identifiers 2

IdentifierTypeStateIssuer
0000V0906MedicaidNM
Z000U02Z0MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100920001061 TX Practitioner - Interventional CardiologyPractitioner - Internal Medicine 5890607667 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Hospitals Limited Cardiovascular Disease CurrentSince May 6, 2014 Accepting new patients
Freedom Medicine, P.a. CurrentSince Jun 21, 2022 Accepting new patients
Anwar S Gerges MD PLLC CurrentSince Jul 14, 2021 Accepting new patients
Border Pain Institute, PA CurrentSince Jun 22, 2021 Accepting new patients
Health and Human Services Commission Current Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jun 1, 2025 Accepting new patients
Tenet Hospitals Limited CurrentSince May 6, 2014 Accepting new patients
Texas Tech University Health Sciences Center El Paso Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Health and Human Services Commission CurrentSince May 16, 2022 Accepting new patients
A & V Doctors PLLC CurrentSince Jan 19, 2021 Accepting new patients
Health and Human Services Commission CurrentSince May 16, 2022 Accepting new patients
Quality Medical Management Corp Past Accepting new patients
Home Dialysis of Illinois LLC PastSince Nov 30, 2023 Accepting new patients

Locations

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

1000 N Mesa St
El Paso, TX 79902
Phone (915) 851-4130

11989 Pellicano Dr
Ste D
El Paso, TX 79936
Phone (210) 240-9996

1250 E Cliff Dr
Ste 3D
El Paso, TX 79902
Phone (915) 577-9100

2001 N Oregon St
#M
El Paso, TX 79902
Phone (915) 577-6011

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

6700 Delta Dr
El Paso, TX 79905
Phone (915) 782-6300

7500 N Mesa St
Ste 210
El Paso, TX 79912
Phone (915) 307-2631

19234 Stonehue
San Antonio, TX 78258
Phone (210) 481-9544

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10714851

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1629005400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 JOE BATTLE BLVD STE 380",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382649",
            "telephone_number": "915-592-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E CLIFF DR STE 3D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024847",
            "telephone_number": "915-857-4130",
            "fax_number": "915-857-4135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 George Dieter Dr",
            "address_2": "suite 130",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799367601",
            "country_code": "US",
            "telephone_number": "915-592-8013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052707",
            "country_code": "US",
            "telephone_number": "915-215-5200",
            "fax_number": "915-215-8640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "KA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G2887",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G2887",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "G2887",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000V0906",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z000U02Z0",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.