Individual provider Active NPI

Calvin Y.H. Wong, M.D.

  • Cardiovascular Disease Physician
  • Honolulu, HI
National Provider Identifier
1881602902
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD3902 Issued in HI
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

Updated by the provider on Jan 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04524202MedicaidHI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100830000791 HI Practitioner - Cardiovascular Disease (Cardiology) 8729171095 Reassigns benefits to 1 organization

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
Pacific Cardiology LLCGroup PAC ID 3173414869, 2 clinicians

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 Hospital, Honolulu, HI, CCN 120001
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
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

LicenseStateTypeSpecialty
MD3902HIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Cardiology LLC Cardiovascular Disease CurrentSince Sep 1, 2000 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.

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": "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

Verify at the official NPI Registry.