Individual provider Active NPI

Michael Yiu Kwong, DPM

  • Foot Surgery Podiatrist
  • Flushing, NY
National Provider Identifier
1891806154
Registry record updated Sep 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005316 Issued in NY
Practice address
3712 Prince St Ste 3D
Flushing, NY 11354-4650
Phone
(718) 539-9001
Fax
(718) 539-9173
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N005316 NY Primary

Addresses

Primary practice location

3712 Prince St Ste 3D
Flushing, NY 11354-4650

Mailing address

3712 Prince St Ste 3D
Flushing, NY 11354-4650
Phone (718) 539-9001

Other identifiers 1

IdentifierTypeStateIssuer
01912849MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309000376 NY Practitioner - Podiatry 6204724446 Practice locations: Flushing, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3712 Prince St
Suite 3D
Flushing, NY 11354-4650
Phone (718) 539-9001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13
Removal of skin lesions48
Removal of nail tissue2614
Removal or shaving of skin growth1123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005316NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Xiangsheng Medicine P.C. PastSince Apr 14, 2014 Accepting new patients
Physician Consulting, PC Past Accepting new patients
Advanced Foot Care Associates PLLC PastSince Jul 12, 2004 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mkwong@3212.mdlanddirect.com

Organizations & group practices 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695427200000",
    "number": "1891806154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 PRINCE ST STE 3D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544650",
            "telephone_number": "718-539-9001",
            "fax_number": "718-539-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 PRINCE ST STE 3D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544650",
            "telephone_number": "718-539-9001",
            "fax_number": "718-539-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWONG",
        "first_name": "MICHAEL",
        "middle_name": "YIU",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-09-23",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01912849",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.