Individual provider Active NPI

Joshua Kong, MD

  • Surgery Physician
  • Richardson, TX
National Provider Identifier
1811493539
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
V3897 Issued in TX
Practice address
2805 E President George Bush Hwy
Richardson, TX 75082-3561
Phone
(469) 204-5620
Fax
(214) 947-8315
NPI assigned
Apr 2, 2018
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X V3897 TX Primary

Addresses

Primary practice location

2805 E President George Bush Hwy
Richardson, TX 75082-3561

Mailing address

2805 E President George Bush Hwy
Richardson, TX 75082-3561
Phone (469) 204-5620

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241122002538 TX Practitioner - General Surgery 5193074425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wayne State University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

2805 E President George Bush Hwy
Trinity Surgical Consultants
Richardson, TX 75082-3561
Phone (972) 619-3500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V3897TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Oct 24, 2024 Accepting new patients
Medhealth CurrentSince Oct 24, 2024 Accepting new patients
Methodist Hospitals of Dallas Past Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

2805 George Bush Hwy
Richardson, TX 75082
Phone (469) 204-6100

2831 George Bush Hwy
Richardson, TX 75082
Phone (469) 204-1000

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: jkong718397@direct.trinity-health.org

Organizations & group practices 4

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.

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1811493539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 E PRESIDENT GEORGE BUSH HWY",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823561",
            "telephone_number": "469-204-5620",
            "fax_number": "214-947-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 E PRESIDENT GEORGE BUSH HWY",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823561",
            "telephone_number": "469-204-5620",
            "fax_number": "214-947-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "JOSHUA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "V3897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.