Active NPI
Chelsea Kechonson Ngongang, M.D.
- Cardiovascular Disease Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2019-01254
- Practice address
- 3000 New Bern Ave
Raleigh, NC 27610-1231 - Phone
- (919) 231-6132
- Fax
- (919) 231-6276
- NPI assigned
- May 24, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Q4819 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 2019-01254 | NC | Primary |
Addresses
Primary practice location
3000 New Bern Ave
Raleigh, NC 27610-1231
Mailing address
2920 Highwoods Blvd
Raleigh, NC 27604-0010
Phone (877) 498-4490
Other practice location 1
4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669732533 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cngongang260716@directHISP.wakemed.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8001 T W Alexander Dr
Raleigh, NC 27617-4883
Phone (919) 781-7772
Hospital & facility affiliations
- Wakemed, Raleigh Campus
- Wakemed, Cary Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q4819 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Wake Pet Services LLC | Current | Accepting new patients | |
| Wakemed Specialists Group, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Raleigh Cardiology Associates, PA | Cardiovascular Disease | Current | Accepting new patients |
| Wakemed Specialists Group LLC | Current | Accepting new patients |
Locations
120 Healthplex Way
Apex, NC 27502
Phone (919) 235-6525
300 Keisler Dr
Cary, NC 27518
Phone (919) 230-4434
210 Ashville Ave
Ste 120
Cary, NC 27518
Phone (919) 350-6513
600 New Waverly Pl
Cary, NC 27518
Phone (919) 350-2580
166 Springbrook Ave
Clayton, NC 27520
Phone (919) 350-4237
231 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 235-6410
400 US 70 Hwy E
Garner, NC 27529
Phone (919) 235-6400
10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380
3324 Six Forks Rd
Raleigh, NC 27609
Phone (919) 781-7772
8001 T W Alexander Dr
Raleigh, NC 27617
Phone (919) 350-0953
2920 Highwoods Blvd
Raleigh, NC 27604
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
Interoperability endpoints
- cngongang260716@directhisp.wakemed.org
Organizations & group practices 5
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.
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1588227839
-
- Diagnostic Radiology Physician
- Cary, NC
- NPI 1770182933
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1265488282
-
- Cardiac Rehabilitation Registered Nurse
- Raleigh, NC
- NPI 1063304228
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1104480532
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cary, NC
- NPI 1114993086
-
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1972579837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1669732533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 HIGHWOODS BLVD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276040010",
"telephone_number": "877-498-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101231",
"telephone_number": "919-231-6132",
"fax_number": "919-231-6276"
}
],
"practiceLocations": [
{
"address_1": "4940 Eastern Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212242735",
"country_code": "US",
"telephone_number": "410-550-0530",
"fax_number": "410-550-0491",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGONGANG",
"first_name": "CHELSEA",
"middle_name": "KECHONSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-24",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q4819",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "2019-01254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1669732533",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cngongang260716@directHISP.wakemed.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "XML",
"address_1": "3000 New Bern Ave",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276101231",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.