Individual provider Active NPI

Ryan K Wong, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Tucson, AZ
National Provider Identifier
1922234798
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
50496 Issued in AZ
Practice address
6585 N. Oracle Rd
Tucson, AZ 85704-5611
Phone
(520) 742-7444
NPI assigned
Jun 5, 2009
Last updated
Apr 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 50496 AZ Primary

Addresses

Primary practice location

6585 N. Oracle Rd
Tucson, AZ 85704-5611

Mailing address

6585 N. Oracle Rd
Tucson, AZ 85704-5611
Phone (520) 742-7444

Other identifiers 1

IdentifierTypeStateIssuer
033339MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150629003144 AZ Practitioner - Ophthalmology 0446490767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JS Weill Medical College, Cornell University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rasw, PCGroup PAC ID 5395731889, 7 clinicians

Practice addresses (Care Compare)

1055 N la Canada Dr
Suite 103
Green Valley, AZ 85614-3700
Phone (520) 886-2597

2121 N Craycroft Rd
BLDG 6
Tucson, AZ 85712-2845
Phone (520) 886-2597

6130 N la Cholla Blvd
Suite 230
Tucson, AZ 85741-3578
Phone (520) 886-2597

7470 N Oracle Rd
Suite 100
Tucson, AZ 85704-4441

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rasw, PC Retina Specialist CurrentSince Nov 1, 2019 Accepting new patients

Locations

1055 N La Canada Dr
Ste 103
Green Valley, AZ 85614
Phone (520) 886-2597

2121 N Craycroft Rd
Bldg 6
Tucson, AZ 85712
Phone (520) 372-1301

6130 N La Cholla Blvd
Ste 230
Tucson, AZ 85741
Phone (520) 742-0999

6561 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 886-2597

7470 N Oracle Rd
Ste 100
Tucson, AZ 85704
Phone (520) 617-2797

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1922234798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 N. ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045611",
            "telephone_number": "520-742-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6585 N. ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045611",
            "telephone_number": "520-742-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "RYAN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-05",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AZ",
            "license": "50496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033339",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.