Kendall H. Wong, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K3880 Issued in TX

Practice address

601A Golder Ave
Odessa, TX 79761-4412

Phone

(432) 332-2538

Fax

(432) 332-2591

NPI assigned

Nov 3, 2006

Last updated

Aug 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Internal Medicine

Education

Loyola University of Chicago, Stritch School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Express Nursing Home health agency, Odessa, TX, CCN 679327
• Excelacare Home Health Home health agency, Lubbock, TX, CCN 677566
• Medical Center Hospital Hospital, Odessa, TX, CCN 450132

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ector County Hospital District

  dba MCH Urgent Care

  • Urgent Care Clinic/Center
  • Odessa, TX
  • NPI 1366680555
  NPD (past)
• Ector County Hospital District

  dba MCH Family Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Odessa, TX
  • NPI 1578265302
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ector County Hospital District

  dba MCH Family Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Odessa, TX
  • NPI 1578265302

  Hospital

  Care Compare affiliation
• Ector County Hospital District

  dba Medical Center Hospital

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1740273994
  Care Compare affiliation
• Express Nursing, Inc

  dba Express Nursing

  • Home Health Agency
  • Odessa, TX
  • NPI 1184791683
  Care Compare affiliation
• Healthcare of West Texas LLC

  dba Excelacare Home Health

  • Home Health Agency
  • Lubbock, TX
  • NPI 1710927983
  Care Compare affiliation

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1740369354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601A GOLDER AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614412",
            "telephone_number": "432-332-2538",
            "fax_number": "432-332-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601A GOLDER AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614412",
            "telephone_number": "432-332-2538",
            "fax_number": "432-332-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KENDALL",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138749008",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Wolkenfeld, M.D.
• David Wollen, DDS
• Women's Health Partners of the Permian Basin
• Womens Wellness of West Texas
• Alice Brooke Wong, PHARMD
• Sing Wai Wong, DDS, MS, PHD
• Mercadez Dawn Wood
• Tristan Jade Wood, MS
• Bonnie Wright
• Wthac, Inc (Miracle-Ear Center)

• Internal Medicine Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.