NPIMap

Individual provider Active NPI

Tony Wong Trinh, M.D.

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1730528308
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
265141 Issued in MA
Practice address
75 Francis St Dept of
Boston, MA 02115
Phone
(617) 732-6757
NPI assigned
Jun 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 265141 MA Primary

Addresses

Primary practice location

75 Francis St Dept of
Boston, MA 02115

Mailing address

75 Francis St Dept of
Boston, MA 02115-6110
Phone (617) 732-6757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190730002986 UT Practitioner - Diagnostic Radiology 4880812007 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Utah School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green River Radiology PCGroup PAC ID 5294123063, 23 clinicians
Tooele Valley Imaging LLCGroup PAC ID 2466624630, 24 clinicians
Utah Imaging Associates IncGroup PAC ID 1355394537, 45 clinicians
Wasatch Imaging LLCGroup PAC ID 7012949522, 16 clinicians

Practice addresses (Care Compare)

12842 S 3600
Suite 100
Riverton, UT 84065-6853
Phone (385) 253-4586

2310 N 400
Suite F
Logan, UT 84341-1788
Phone (435) 258-9598

2356 N 400
Suite 103
Tooele, UT 84074-3409
Phone (435) 882-1674

6243 S Redwood Rd
Suite 130
Taylorsville, UT 84123-6408
Phone (801) 869-5630

630 Medical Dr
Bountiful, UT 84010-4908
Phone (801) 299-2220

729 King St
Suite 100
Layton, UT 84041-4681
Phone (801) 563-0333

9844 S 1300
Suite 175
Sandy, UT 84094-4688
Phone (801) 576-1290

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Memorial Clinic CurrentSince Nov 11, 2024 Accepting new patients
Tanner Memorial Clinic Current Accepting new patients
Tooele Valley Imaging, LLC CurrentSince Oct 1, 2020 Accepting new patients
Tanner Memorial Clinic CurrentSince Nov 11, 2024 Accepting new patients
Wasatch Imaging LLC CurrentSince Sep 15, 2024 Accepting new patients
Green River Radiology, P.C. Diagnostic Radiology CurrentSince Dec 15, 2021 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Wasatch Vascular Center LLC PastSince Nov 1, 2019 Accepting new patients

Locations

1433 N 1075 W
Ste 104
Farmington, UT 84025
Phone (801) 299-2200

425 S 100 W
Layton, UT 84041
Phone (801) 682-8708

12842 S 3600 W
Ste 100
Riverton, UT 84065
Phone (385) 253-4586

9844 S 1300 E
Ste 175
Sandy, UT 84094
Phone (801) 576-1290

6243 S Redwood Rd
Ste 130
Taylorsville, UT 84123
Phone (801) 288-9671

2055 N Main St
Tooele, UT 84074
Phone (435) 843-3600

2356 N 400 E
Ste 103
Tooele, UT 84074
Phone (435) 882-1674

Organizations & group practices 9

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1730528308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST DEPT OF",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST DEPT OF",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-732-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINH",
        "first_name": "TONY",
        "middle_name": "WONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "265141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.