Clifford Chun Ming Wong, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD8895 Issued in HI

Practice address

347 North Kuakini St
Honolulu, HI 96817-2377

Phone

(808) 547-9139

Fax

(808) 547-9497

NPI assigned

Nov 20, 2006

Last updated

Jul 8, 2007By 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 HI

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

Pathology

Education

University of Hawaii John a. Burns School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hawaii Pathologists LaboratoryGroup PAC ID 4880585876, 16 clinicians

Kuakini Pathologlists LLCGroup PAC ID 4486545092, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kuakini Medical Center Hospital, Honolulu, HI, CCN 120007
• Adventist Health Castle Hospital, Kailua, HI, CCN 120006
• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

Merit-based Incentive Payment System (MIPS)

Final score

78.75 of 100Reported as group

Quality

75

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Hawaii Pathologists' Laboratory

  • Anatomic Pathology & Clinical Pathology Physician
  • Honolulu, HI
  • NPI 1114915204
  Medicare reassignment Care Compare group NPD
• Kuakini Pathologlists, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Honolulu, HI
  • NPI 1891852141
  Medicare reassignment Care Compare group NPD
• Hawaii Permanente Medical Group Inc

  • Health Maintenance Organization
  • Honolulu, HI
  • NPI 1710945969
  Medicare reassignment NPD

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

• Castle Medical Center

  • General Acute Care Hospital
  • Kailua, HI
  • NPI 1316937691
  Care Compare affiliation
• Kuakini Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1215939335
  Care Compare affiliation
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  Care Compare affiliation

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750455846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 NORTH KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172377",
            "telephone_number": "808-547-9139",
            "fax_number": "808-547-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 NORTH KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172377",
            "telephone_number": "808-547-9139",
            "fax_number": "808-547-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CLIFFORD",
        "middle_name": "CHUN MING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "HI",
            "license": "MD8895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25260301",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christie Siu-Sin Wong, OD
• Christina Wong, PHARMD
• Christina Kaleimomi Lee Wong, APRN
• Cindy V. L. Wong, MD
• Clara J Wong, L..AC
• Courtney Wong
• Daisy-Kristina Wong, FNP-BC
• Darren DK Wong, DDS
• Daryl Jean Wong, COTA
• Daryl M Wong, DDS

• Anatomic Pathology & Clinical Pathology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Anatomic Pathology & Clinical Pathology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.