Individual provider Active NPI

Jason Kuan Kit Wong, DO

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1811485287
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2941 Issued in NV
Practice address
10085 Double R Blvd Ste 220
Reno, NV 89521-3855
Phone
(775) 982-5000
Fax
(775) 982-3900
NPI assigned
May 1, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO2941 NV Primary

Addresses

Primary practice location

10085 Double R Blvd Ste 220
Reno, NV 89521-3855

Mailing address

1155 Mill St # McM14
Reno, NV 89502-1576
Phone (775) 982-5205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20231130001873 AZ Practitioner - Family Practice 1355746231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

1124 E McKellips Rd
Suite 110
Mesa, AZ 85203-2766
Phone (855) 485-4673

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010161AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Oct 30, 2023 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Oct 30, 2023 Accepting new patients
Honorhealth Ambulatory Past Accepting new patients
Honorhealth Medical Group, LLC Family Medicine Past Accepting new patients

Locations

16716 E Palisades Blvd
Ste 101A
Fountain Hills, AZ 85268
Phone (480) 587-6900

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

1124 E McKellips Rd
Ste 110
Mesa, AZ 85203
Phone (480) 882-4509

1124 E McKellips Rd
Ste 1
Mesa, AZ 85203

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

1515 E Bethany Home Rd
Ste 120B
Phoenix, AZ 85014
Phone (480) 324-7231

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

18404 N Tatum Blvd
Ste 100C
Phoenix, AZ 85032

10200 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 314-2288

1761 E Warner Rd
Ste 2
Tempe, AZ 85284
Phone (480) 882-7390

Interoperability endpoints

  • Direct secure messaging: jwong91353@direct.honorhealth.com

Organizations & group practices 5

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 2

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1811485287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # MCM14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5205",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10085 DOUBLE R BLVD STE 220",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895213855",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JASON",
        "middle_name": "KUAN KIT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-01",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.