Active NPI
Calvin Y.H. Wong, M.D.
- Cardiovascular Disease Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD3902
- Practice address
- 1329 Lusitana St
Suite 305
Honolulu, HI 96813-2429 - Phone
- (808) 744-4507
- Fax
- (808) 744-4521
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD3902 | HI | Primary |
Addresses
Primary practice location
1329 Lusitana St
Suite 305
Honolulu, HI 96813-2429
Mailing address
PO Box 1300
Mailcode 47866
Honolulu, HI 96807-1300
Phone (808) 744-4507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04524202 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- JS Weill Medical College, Cornell University, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1329 Lusitana St
Honolulu, HI 96813-2411
Phone (808) 347-8018
1329 Lusitana St
Suite B9
Honolulu, HI 96813-2435
Phone (808) 347-8018
Hospital & facility affiliations
- The Queens Medical Center
- Pali Momi Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.05 of 100
- Quality
- 89.81
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD3902 | HI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Cardiology LLC | Cardiovascular Disease | Current | Accepting new patients |
Locations
1329 Lusitana St
Ste 305
Honolulu, HI 96813
Phone (808) 532-2955
2226 Liliha St
Ste 302
Honolulu, HI 96817
Phone (808) 521-4344
1329 Lusitana St
Ste B9
Honolulu, HI 96813
Phone (808) 347-8018
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Honolulu, HI
- NPI 1073521134
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aiea, HI
- NPI 1013961408
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1881602902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1300",
"address_2": "MAILCODE 47866",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968071300",
"telephone_number": "808-744-4507",
"fax_number": "808-744-4521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 LUSITANA ST",
"address_2": "SUITE 305",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132429",
"telephone_number": "808-744-4507",
"fax_number": "808-744-4521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "CALVIN",
"middle_name": "Y.H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "HI",
"license": "MD3902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04524202",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.