Active NPI
Stephen Chee-Yung Wong, M.D.
- Pediatric Rheumatology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rheumatology Physician
- License
- MD61025347
- Practice address
- 4800 Sand Point Way NE
Seattle, WA 98105-3901 - Phone
- (206) 987-2000
- Fax
- (206) 985-3114
- NPI assigned
- May 13, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Rheumatology Physician | 2080P0216X | 164282 | AK | |
| Pediatric Rheumatology Physician | 2080P0216X | A139758 | CA | |
| Pediatric Rheumatology Physician | 2080P0216X | MD61025347 | WA | Primary |
Addresses
Primary practice location
4800 Sand Point Way NE
Seattle, WA 98105-3901
Mailing address
4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone (206) 987-2000
Other practice location 1
3340 Providence Dr Ste A351
Anchorage, AK 99508-4621
Phone (907) 212-4824
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | swong1398773@ak.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Eastern Virginia Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone (206) 526-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A139758 | CA | MD | Pediatric Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Association of CHMC and University Physicians | Pediatric Rheumatology | Current | Accepting new patients |
| The Association of Chrmc and University Physicians | Current | Accepting new patients | |
| Providence Health & Services- Washington | Current | Accepting new patients |
Locations
3340 Providence Dr
Ste A351
Anchorage, AK 99508
Phone (907) 212-4800
920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200
900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
Interoperability endpoints
- swong1398773@ak.providencedirect.org
- swong92145@direct.seattlechildrens.org
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.
-
- Pediatrics Physician
- Seattle, WA
- NPI 1255449963
-
- Critical Care Medicine (Internal Medicine) Physician
- Anchorage, AK
- NPI 1093956278
-
- Pediatrics Physician
- Richland, WA
- NPI 1851680664
Pediatric Rheumatology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1922419993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053901",
"telephone_number": "206-987-2000",
"fax_number": "206-985-3114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053901",
"telephone_number": "206-987-2000",
"fax_number": "206-985-3114"
}
],
"practiceLocations": [
{
"address_1": "3340 Providence Dr Ste A351",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995084621",
"country_code": "US",
"telephone_number": "907-212-4824",
"fax_number": "907-212-4831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONG",
"first_name": "STEPHEN",
"middle_name": "CHEE-YUNG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-13",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0216X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Rheumatology",
"state": "AK",
"license": "164282",
"primary": false
},
{
"code": "2080P0216X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Rheumatology",
"state": "CA",
"license": "A139758",
"primary": false
},
{
"code": "2080P0216X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Rheumatology",
"state": "WA",
"license": "MD61025347",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "swong1398773@ak.providencedirect.org",
"affiliation": "N",
"address_1": "3340 Providence Dr Ste A351",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "995084621",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.