Individual provider Active NPI

Andrew Leung-Doon Wong, M.D.

  • Internal Medicine Physician
  • Bethesda, MD
National Provider Identifier
1639213150
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0066066 Issued in MD
Practice address
4701 Sangamore Rd Ste N270
Bethesda, MD 20816-2528
Phone
(301) 602-5025
NPI assigned
Feb 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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 D0066066 MD Primary

Addresses

Primary practice location

4701 Sangamore Rd Ste N270
Bethesda, MD 20816-2528

Mailing address

4701 Sangamore Rd Ste N270
Bethesda, MD 20816-2528
Phone (301) 892-2658

Other practice location 1

11325 Seven Locks Rd Ste N290
Potomac, MD 20854
Phone (240) 507-5110

Other identifiers 1

IdentifierTypeStateIssuer
415096100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20260319002815 MD Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1254423411

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
17.39 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
57.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0066066MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Health and Wellness East LLC Internal Medicine CurrentSince May 26, 2024 Accepting new patients
Harmony Functional Wellness LLC Current Accepting new patients
Inpatient Specialists PA Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11325 Seven Locks Rd
Ste 290
Potomac, MD 20854
Phone (240) 507-5110

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1639213150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 SANGAMORE RD STE N270",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162528",
            "telephone_number": "301-892-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SANGAMORE RD STE N270",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162528",
            "telephone_number": "301-602-5025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11325 Seven Locks Rd Ste N290",
            "address_purpose": "LOCATION",
            "city": "Potomac",
            "state": "MD",
            "postal_code": "20854",
            "country_code": "US",
            "telephone_number": "240-507-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "ANDREW",
        "middle_name": "LEUNG-DOON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-17",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0066066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415096100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.