Active NPI
Andrew Leung-Doon Wong, M.D.
- Internal Medicine Physician
- Bethesda, MD
National Provider Identifier
1639213150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0066066
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 415096100 | Medicaid | MD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260319002815 | MD | Order and Referring Only - Internal Medicine | 1254423411 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 17.39 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 57.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0066066 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Happy Health and Wellness East LLC | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- Potomac, MD
- NPI 1063251494
-
- Clinic/Center
- Potomac, MD
- NPI 1962268391
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1700858586
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.