Individual provider Active NPI

Ricky Tsee-Wai Tong, M.D., PH.D.

  • Vascular & Interventional Radiology Physician
  • Wynnewood, PA
National Provider Identifier
1679896112
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD473512 Issued in PA
Practice address
100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone
(484) 476-2826
NPI assigned
Mar 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A114005 CA
Vascular & Interventional Radiology Physician 2085R0204X A114005 CA
Vascular & Interventional Radiology Physician 2085R0204X MD473512 PA Primary

Addresses

Primary practice location

100 E Lancaster Ave
Wynnewood, PA 19096-3450

Mailing address

100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone (484) 476-2826

Other practice location 1

5176 Hill Rd E
Lakeport, CA 95453-6300
Phone (707) 262-5011

Other practice location 2

1900 Sullivan Ave
Daly City, CA 94015-2200
Phone (650) 991-6503

Other practice location 3

600 Marine Blvd
Moss Beach, CA 94038-9641
Phone (650) 728-5521

Other practice location 4

2333 Buchanan St
San Francisco, CA 94115-1925
Phone (415) 600-3232

Other practice location 5

1101 Van Ness Ave Fl 3
San Francisco, CA 94109-6919
Phone (415) 600-3232

Other practice location 6

3555 Cesar Chavez
San Francisco, CA 94110-4403
Phone (415) 641-6685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210506000939 PA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 7911138011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Stanford University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line Health Imaging LPGroup PAC ID 7618867664, 51 clinicians
Radiology Associates of the Main Line P CGroup PAC ID 9931097193, 80 clinicians

Practice addresses (Care Compare)

255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (484) 565-8068

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A114005CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Health Imaging LP Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Radiology Associates of the Main Line P C Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Main Line Health Imaging LP PastSince Jul 1, 2021 Accepting new patients

Locations

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000

101 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (610) 526-2200

120 Valley Green Ln
Kng of Prussa, PA 19406
Phone (610) 526-3000

1068 W Baltimore Pike
Media, PA 19063
Phone (610) 566-9400

255 W Lancaster Ave
Ste 131
Paoli, PA 19301
Phone (610) 560-8060

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1679896112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "484-476-2826",
            "fax_number": "484-476-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "484-476-2826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5176 Hill Rd E",
            "address_purpose": "LOCATION",
            "city": "Lakeport",
            "state": "CA",
            "postal_code": "954536300",
            "country_code": "US",
            "telephone_number": "707-262-5011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Sullivan Ave",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940152200",
            "country_code": "US",
            "telephone_number": "650-991-6503",
            "fax_number": "650-991-6755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Marine Blvd",
            "address_purpose": "LOCATION",
            "city": "Moss Beach",
            "state": "CA",
            "postal_code": "940389641",
            "country_code": "US",
            "telephone_number": "650-728-5521",
            "fax_number": "650-728-5701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2333 Buchanan St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941151925",
            "country_code": "US",
            "telephone_number": "415-600-3232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Van Ness Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941096919",
            "country_code": "US",
            "telephone_number": "415-600-3232",
            "fax_number": "415-447-6335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3555 Cesar Chavez",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941104403",
            "country_code": "US",
            "telephone_number": "415-641-6685",
            "fax_number": "415-641-7595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TONG",
        "first_name": "RICKY",
        "middle_name": "TSEE-WAI",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A114005",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A114005",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD473512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.