Individual provider Active NPI

Jeffrey E. Wong, M.D.

  • Urology Physician
  • Alexandria, VA
National Provider Identifier
1730167818
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101230624 Issued in WA
Practice address
1707 Osage St
Suite 301
Alexandria, VA 22302-2607
Phone
(703) 836-8010
Fax
(703) 921-0285
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101230624 WA Primary

Addresses

Primary practice location

1707 Osage St
Suite 301
Alexandria, VA 22302-2607

Mailing address

1800 N Beauregard St Ste 300
Alexandria, VA 22311-1735
Phone (703) 680-2111

Other practice location 1

1800 N Beauregard St Ste 300
Alexandria, VA 22311-1735
Phone (703) 680-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20060324000483 DC Practitioner - Urology 6204864135 Reassigns benefits to 4 organizations
I20190508001837 VA Practitioner - Urology 6204864135 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
New York Medical College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Potomac Urology Center, LLCGroup PAC ID 1557329406, 17 clinicians
Gastrointestinal Specialists LLCGroup PAC ID 5294797957, 79 clinicians
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

1800 N Beauregard St
Suite 3
Alexandria, VA 22311-1735
Phone (703) 680-2111

1860 Town Ctr Dr
Suite 150
Reston, VA 20190-5905
Phone (703) 480-0220

2296 Opitz Blvd
Suite 350
Woodbridge, VA 22191-3346
Phone (703) 680-2111

3700 Joseph Siewick Dr
Suite 300
Fairfax, VA 22033-1739
Phone (703) 680-2111

6230 Rolling Rd
Suite Ij
Springfield, VA 22152-2307
Phone (571) 565-6460

6602 W Broad St
Suite B
Richmond, VA 23230-1702
Phone (804) 285-8206

Hospital & facility affiliations

  • Inova Home Health LLC Home health agency, Fairfax, VA, CCN 497008
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122
  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050

Merit-based Incentive Payment System (MIPS)

Final score
78.62 of 100Reported as group
Quality
53.18
Promoting interoperability
99
Improvement activities
40
Cost
76.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101230624WAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac Urology Surgery Center, LLC CurrentSince Feb 27, 2023 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Inderjit Singh MD PC Urology Past Accepting new patients

Locations

251 National Harbor Blvd
Ste 400
Oxon Hill, MD 20745
Phone (301) 637-7878

251 National Harbor Blvd
Ste 400A
Oxon Hill, MD 20745
Phone (301) 637-7878

1800 N Beauregard St
Ste 3
Alexandria, VA 22311

4660 Kenmore Ave
Ste 735
Alexandria, VA 22304
Phone (703) 370-2132

1800 N Beauregard St
Ste 300
Alexandria, VA 22311

3299 Woodburn Rd
Ste 210
Annandale, VA 22003
Phone (703) 204-0000

3299 Woodburn Rd
Ste 450
Annandale, VA 22003
Phone (703) 207-2077

8503 Arlington Blvd
Ste 310
Fairfax, VA 22031
Phone (703) 208-4200

3650 Joseph Siewick Dr
Ste 106
Fairfax, VA 22033
Phone (703) 620-1144

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

2296 Opitz Blvd
Ste 350
Woodbridge, VA 22191
Phone (703) 680-5327

2296 Opitz Blvd
Ste 300
Woodbridge, VA 22191
Phone (703) 523-0998

Organizations & group practices 8

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1730167818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N BEAUREGARD ST STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111735",
            "telephone_number": "703-680-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 OSAGE ST",
            "address_2": "SUITE 301",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223022607",
            "telephone_number": "703-836-8010",
            "fax_number": "703-921-0285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 N Beauregard St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223111735",
            "country_code": "US",
            "telephone_number": "703-680-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "JEFFREY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "0101230624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.