Active NPI
Angela Vong, M.D.
- Pediatric Otolaryngology Physician
- Woodbury, MN
National Provider Identifier
1780942243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- 63695
- Practice address
- 217 Radio Dr
Woodbury, MN 55125-5805 - Phone
- (651) 702-0750
- Fax
- (651) 645-6166
- NPI assigned
- May 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | 82559-20 | WI | |
| Pediatric Otolaryngology Physician | 207YP0228X | 63695 | MN | Primary |
Addresses
Primary practice location
217 Radio Dr
Woodbury, MN 55125-5805
Mailing address
215 Radio Dr Ste 202
Woodbury, MN 55125-5822
Phone (651) 702-0750
Other practice location 1
2651 Hillcrest Dr
Hudson, WI 54016-9914
Phone (651) 702-0750
Other practice location 2
11020 161st Street West
Lakeville, MN 55044
Phone (651) 702-0750
Other practice location 3
3460 Promenade Ave
Eagan, MN 55123-4404
Phone (651) 702-0750
Other practice location 4
3590 Arcade St
Vadnais Heights, MN 55127-7135
Phone (651) 702-0750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- New York Medical College, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2651 Hillcrest Dr
Suite 302
Hudson, WI 54016-9919
Phone (651) 702-0750
3460 Promenade Ave E
Eagan, MN 55121
Phone (651) 702-0750
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
- Allina United Hospital
- Hudson Hospital
- Lakeview Memorial Hospital
- M Health Fairview St John'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147814 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otolaryngology & Head & Neck Surgery, P.a. | Current | Accepting new patients | |
| Midwest Ancillary Services, Inc | Current | Accepting new patients |
Locations
3460 Promenade Ave
Eagan, MN 55123
11020 161st St W
Lakeville, MN 55044
3590 Arcade St
Vadnais Heights, MN 55127
217 Radio Dr
Woodbury, MN 55125
2080 Woodwinds Dr
Ste 240
Woodbury, MN 55125
215 Radio Dr
Ste 202
Woodbury, MN 55125
Phone (651) 867-9007
2651 Hillcrest Dr
Ste 302
Hudson, WI 54016
Phone (651) 241-5290
Organizations & group practices 2
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.
-
- Hearing Aid Equipment
- Woodbury, MN
- NPI 1588754584
Hospital & facility affiliations 22
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1457319485
-
- General Acute Care Hospital
- Hastings, MN
- NPI 1508457045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1780942243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 RADIO DR STE 202",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551255822",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 RADIO DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551255805",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166"
}
],
"practiceLocations": [
{
"address_1": "2651 Hillcrest Dr",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "WI",
"postal_code": "540169914",
"country_code": "US",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11020 161st Street West",
"address_purpose": "LOCATION",
"city": "Lakeville",
"state": "MN",
"postal_code": "55044",
"country_code": "US",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3460 Promenade Ave",
"address_purpose": "LOCATION",
"city": "Eagan",
"state": "MN",
"postal_code": "551234404",
"country_code": "US",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3590 Arcade St",
"address_purpose": "LOCATION",
"city": "Vadnais Heights",
"state": "MN",
"postal_code": "551277135",
"country_code": "US",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VONG",
"first_name": "ANGELA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-02",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "WI",
"license": "82559-20",
"primary": false
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "MN",
"license": "63695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.