Jiayi Kong, MD
Individual provider Active NPI Internal Medicine Physician · Saipan, MP
NPI 1851832273 · NPPES record last updated Jan 13, 2022
Key facts
- NPI
- 1851832273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0747 (MP)
- Practice address
- Hospital Drive
Garapan
Saipan, MP 96950 - Phone
- (670) 234-8950
- NPI assigned
- Mar 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Tulane University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Commonwealth Healthcare Corporation
Practice addresses (Care Compare)
1 Lower Navy Hill Rd
Saipan, MP 96950
Phone (670) 234-8950
Hospital & facility affiliations
- Commonwealth Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MP
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201013000890 | MP | Practitioner - Internal Medicine | 0345572822 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-21058 | HI | MD | Internal Medicine Physician |
| 0747 | MP | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Healthcare Corporation | Current |
Accepting new patients | |
| Commonwealth Healthcare Corporation | Current | Accepting new patients | |
| Commonwealth Healthcare Corporation | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD-21058 | HI | |
| Internal Medicine Physician | 207R00000X | 0747 | MP | Yes |
Addresses
Primary practice location
Hospital Drive
Garapan
Saipan, MP 96950
Mailing address
186 E Lansdowne Cir
Spring, TX 77382-2727
Phone (670) 286-4151
Other providers in Saipan, MP
- David Khorram
- Dohyun Kim
- Jihyun Kim
- Muhamet Kivilcim
- Rodney Hugh Klassen
- Nelson Charles Krum Jr.
- Oh Ock Kwon
- Laura Kyonka
- Susan Mae Laidlaw
- LCS-Cnmi, Inc.
All providers in Saipan, MP · Internal Medicine Physician in Northern Mariana Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.