Individual provider Active NPI

Steven Eric Kong, MD

  • Student in an Organized Health Care Education/Training Program
  • Mineola, NY
National Provider Identifier
1871856567
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
259 1St St
Mineola, NY 11501-3957
Phone
(516) 663-0333
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

259 1St St
Mineola, NY 11501-3957

Mailing address

259 1St St
Mineola, NY 11501-3957
Phone (516) 663-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170502000808 CA Practitioner - Diagnostic Radiology 1951688837 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

1005 Van Ness Ave
Simonmed Imaging San Francisco Van Ness
San Francisco, CA 94109-6913
Phone (415) 229-7825

10111 Hole Ave
Riverside, CA 92503-3441
Phone (951) 352-0555

155 N San Vicente Blvd
Simonmed Imaging San Vicente
Beverly Hills, CA 90211-2303
Phone (323) 433-7800

24 Pacific GRV
Irvine, CA 92602-1017
Phone (480) 306-6949

325 Sacramento St
San Francisco, CA 94111-3601
Phone (415) 321-4674

665 Munras Ave
Suite 109
Monterey, CA 93940-3136
Phone (831) 656-9800

8370 Wilshire Blvd
110 Simonmed Imaging Beverly Hills Stand Up
Beverly Hills, CA 90211-2334
Phone (323) 966-0000

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Diagnostics of California a Professional Corporation CurrentSince Oct 1, 2018 Accepting new patients
Smi Imaging, LLC CurrentSince Oct 1, 2018 Accepting new patients

Locations (25 of 30)

13555 W McDowell Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 213-7690

6707 N 19th Ave
Ste 101
Phoenix, AZ 85015
Phone (602) 242-2555

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

6900 E Camelback Rd
Ste 700
Scottsdale, AZ 85251
Phone (602) 651-1945

9201 E Mountain View Rd
Ste 112
Scottsdale, AZ 85258
Phone (480) 584-6800

9201 E Mountain View Rd
Ste 137
Scottsdale, AZ 85258
Phone (480) 614-8555

155 N San Vicente Blvd
Beverly Hills, CA 90211
Phone (323) 433-7800

9134 W Olympic Blvd
Beverly Hills, CA 90212
Phone (310) 432-1000

8370 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (323) 966-0000

155 N San Vicente Blvd
#1182
Beverly Hills, CA 90211
Phone (323) 433-7800

455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030

499 N El Camino Real
Ste C100
Encinitas, CA 92024
Phone (760) 334-4065

15775 Laguna Canyon Rd
Ste 140
Irvine, CA 92618
Phone (949) 522-8120

24022 Calle de la Plata
Ste 100
Laguna Hills, CA 92653
Phone (949) 330-8996

14651 S Bascom Ave
Ste 120
Los Gatos, CA 95032
Phone (408) 356-0444

665 Munras Ave
Ste 109
Monterey, CA 93940
Phone (831) 656-9800

105 South Dr
Ste 110
Mountain View, CA 94040
Phone (650) 259-3165

1690 Barton Rd
Ste 107
Redlands, CA 92373
Phone (909) 307-1941

1690 Barton Rd
Ste 108
Redlands, CA 92373
Phone (909) 806-7025

345 Convention Way
Ste 1-D
Redwood City, CA 94063
Phone (650) 299-9906

10111 Hole Ave
Riverside, CA 92503
Phone (650) 299-9906

225 W Hospitality Ln
Ste 102
San Bernardino, CA 92408
Phone (909) 888-5000

635 Camino de los Mares
Ste 101
San Clemente, CA 92673
Phone (949) 506-5316

325 Sacramento St
San Francisco, CA 94111
Phone (408) 356-9013

1180 Post St
San Francisco, CA 94109
Phone (415) 248-3700

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1871856567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 1ST ST",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013957",
            "telephone_number": "516-663-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 1ST ST",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013957",
            "telephone_number": "516-663-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "STEVEN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.