Individual provider Active NPI

Victor Fong, M.D.

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1710229125
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
18945 Issued in NV
Practice address
2950 S Maryland Pkwy
Las Vegas, NV 89109-2204
Phone
(702) 732-6000
Fax
(702) 732-6071
NPI assigned
Mar 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 18945 NV Primary

Addresses

Primary practice location

2950 S Maryland Pkwy
Las Vegas, NV 89109-2204

Mailing address

2950 S Maryland Pkwy
Las Vegas, NV 89109-2204
Phone (702) 732-6000

Other practice location 1

600 Gresham Dr
Evms
Norfolk, VA 23507-1904
Phone (757) 388-1141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180711001337 CA Practitioner - Diagnostic Radiology 0547516239 Reassigns benefits to 2 organizations
I20191007001127 NV Practitioner - Diagnostic Radiology 0547516239

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Drexel University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Radiology Medical Associates IncGroup PAC ID 8022911809, 27 clinicians
Sdmi, LLCGroup PAC ID 7911897053, 36 clinicians

Practice addresses (Care Compare)

125 Ciro Ave
Suite 230
San Jose, CA 95128-1671
Phone (408) 297-4591

7301 Peak Dr
Suite 200
Las Vegas, NV 89128-9037

7301 Peak Dr
Suite 200
Las Vegas, NV 89128-9308

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
82.05
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18945NVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sdmi, LLC Diagnostic Radiology CurrentSince Aug 6, 2019 Accepting new patients
Hoffman, MD, Associated Pathologists Chartered PastSince Aug 6, 2019 Accepting new patients

Locations

4 Sunset Way
Ste D
Henderson, NV 89014

4 Sunset Way
Henderson, NV 89014
Phone (215) 680-3255

2850 Siena Heights Dr
Henderson, NV 89052

800 N Gibson Rd
Ste 110
Henderson, NV 89011

2950 S Maryland Pkwy
Las Vegas, NV 89109

6925 N Durango Dr
Las Vegas, NV 89149

9070 W Post Rd
Las Vegas, NV 89148

10040 Alta Dr
Ste 170
Las Vegas, NV 89145
Phone (701) 732-6000

2767 N Tenaya Way
Las Vegas, NV 89128

8945 Lindell Rd
Las Vegas, NV 89139

31 N Nellis Blvd
Las Vegas, NV 89110

800 Shadow Ln
Las Vegas, NV 89106
Phone (702) 366-9700

1650 W Craig Rd
Ste 100
North Las Vegas, NV 89032

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.

NPI Registry JSON

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

{
    "created_epoch": "1364083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1710229125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092204",
            "telephone_number": "702-732-6000",
            "fax_number": "702-732-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092204",
            "telephone_number": "702-732-6000",
            "fax_number": "702-732-6071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Gresham Dr",
            "address_2": "EVMS",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-388-1141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONG",
        "first_name": "VICTOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-24",
        "last_updated": "2020-12-02",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "18945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.