Individual provider Active NPI

Jonathan M Wong, M.D.

  • Cardiovascular Disease Physician
  • Rochester, MN
National Provider Identifier
1780926808
Registry record updated Oct 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
73827 Issued in MN
Practice address
200 1St St SW
Rochester, MN 55905-6978
Phone
(507) 284-2511
NPI assigned
Mar 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 135101 CA
Nuclear Cardiology Physician 207UN0901X A135101 CA
Computed Tomography Radiologic Technologist 2471C3401X A135101 CA
Cardiovascular Disease Physician 207RC0000X 73827 MN Primary

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905-6978

Mailing address

200 1St St SW
Rochester, MN 55905-0002

Other practice location 1

1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone (415) 600-6285

Other practice location 2

1580 Valencia St Ste 802
San Francisco, CA 94110-4415
Phone (415) 537-5600

Other practice location 3

2351 Clay St Ste 380
San Francisco, CA 94115-1931
Phone (415) 600-3954

Other practice location 4

1100 Van Ness Ave
San Francisco, CA 94109-6978
Phone (415) 600-6500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwong2005386@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MN2 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
I20160720001944 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0648563213 Reassigns benefits to 1 organization
I20231018002853 MN Practitioner - Cardiovascular Disease (Cardiology) 0648563213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Un of California, Irvine, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayo ClinicGroup PAC ID 6507778255, 4,829 clinicians

Practice addresses (Care Compare)

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Hospital & facility affiliations

  • Mayo Clinic Hospital Rochester Hospital, Rochester, MN, CCN 240010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
135101CAMDCardiovascular Disease Physician
73827MNMDCardiovascular Disease Physician
A135101CAMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Current Accepting new patients
Mayo Clinic CurrentSince Sep 15, 2023 Accepting new patients
Mayo Clinic CurrentSince Sep 15, 2023 Accepting new patients
Sutter Bay Medical Foundation Cardiovascular Disease CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Mayo Clinic Current Accepting new patients
Mayo Clinic Past Accepting new patients

Locations

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
#1112
Palo Alto, CA 94301

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940

1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824

1580 Valencia St
Ste 802
San Francisco, CA 94110
Phone (415) 750-7050

1100 Van Ness Ave
Fl 5
San Francisco, CA 94109
Phone (415) 600-0440

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

1100 Van Ness Ave
San Francisco, CA 94109
Phone (415) 600-5760

2333 Buchanan St
San Francisco, CA 94115
Phone (415) 563-4321

2351 Clay St
Ste 380
San Francisco, CA 94115
Phone (415) 600-3954

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

1551 Bishop St
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 548-8585

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

Interoperability endpoints

  • Direct secure messaging: jwong2005386@ehrdirect.mayoclinicmsg.org
  • Direct secure messaging: jwongresspmf173010@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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 1

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696118400000",
    "number": "1780926808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559056978",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Van Ness Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941096919",
            "country_code": "US",
            "telephone_number": "415-600-6285",
            "fax_number": "415-447-6322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1580 Valencia St Ste 802",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941104415",
            "country_code": "US",
            "telephone_number": "415-537-5600",
            "fax_number": "415-369-1371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2351 Clay St Ste 380",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941151931",
            "country_code": "US",
            "telephone_number": "415-600-3954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Van Ness Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941096978",
            "country_code": "US",
            "telephone_number": "415-600-6500",
            "fax_number": "415-558-7020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2023-10-01",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "135101",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CA",
            "license": "A135101",
            "primary": false
        },
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "CA",
            "license": "A135101",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "73827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwong2005386@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "200 1st St SW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559056978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.