NPIMap

Individual provider Active NPI

Wei K Kao, M.D.

  • Internal Medicine Physician
  • Ronkonkoma, NY
National Provider Identifier
1629295571
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
160056 Issued in NY
Practice address
3505 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7640
Phone
(631) 676-7656
Fax
(631) 676-7648
NPI assigned
Apr 20, 2007
Last updated
Sep 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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 160056 NY Primary

Addresses

Primary practice location

3505 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7640

Mailing address

3505 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7640
Phone (631) 676-7656

Other identifiers 1

IdentifierTypeStateIssuer
01018831MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110825000655 NY Practitioner - Internal Medicine 9133015753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Home Medical Services PLLCGroup PAC ID 2062753320, 3 clinicians
Preferred Professional Medical Care PCGroup PAC ID 9739359027, 14 clinicians

Practice addresses (Care Compare)

3505 Veterans Memorial Hwy
Suite C
Ronkonkoma, NY 11779-7613
Phone (631) 676-7656

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.9 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
72.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160056NYMDInternal Medicine Physician
43744MAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Professional Medical Care PC Internal Medicine CurrentSince Jul 17, 2011 Accepting new patients
Home Medical Services PLLC Internal Medicine CurrentSince Dec 17, 2018 Accepting new patients
Riverhead Care Center LLC Past Accepting new patients
Ozone Acquisition,LLC Past Accepting new patients
Quantum Rehabilitation and Nursing LLC Past Accepting new patients
Oasis Rehabilitation and Nursing LLC Past Accepting new patients
MMR Care Corp Past Accepting new patients
St. Catherine of Siena Medical Center Past Accepting new patients
Northside Primary Medical Care PC Internal Medicine PastSince Feb 23, 2004 Accepting new patients
Suffolk Restorative Therapy & Nursing, LLC Past Accepting new patients
Preferred Professional Medical Care PC Internal Medicine Past Accepting new patients
Nursing Care Center at Medford Inc Past Accepting new patients

Locations

3505 Veterans Memorial Hwy
Ste C
Ronkonkoma, NY 11779
Phone (631) 676-7556

Organizations & group practices 12

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1629295571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 VETERANS MEMORIAL HWY",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797640",
            "telephone_number": "631-676-7656",
            "fax_number": "631-676-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 VETERANS MEMORIAL HWY",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797640",
            "telephone_number": "631-676-7656",
            "fax_number": "631-676-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAO",
        "first_name": "WEI",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "160056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01018831",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

Verify at the official NPI Registry.