Individual provider Active NPI

Kyle K Chong, M.D.

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1952698516
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
77344 Issued in MN
Practice address
169 Madison Ave Ste 153
New York, NY 10016-5101
Phone
(844) 484-7362
NPI assigned
Jul 5, 2011
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD17442 HI
Emergency Medicine Physician 207P00000X 77344 MN Primary

Addresses

Primary practice location

169 Madison Ave Ste 153
New York, NY 10016-5101

Mailing address

770 Kapiolani Blvd Ste 705
Honolulu, HI 96813-5241
Phone (808) 597-8778

Other practice location 1

770 Kapiolani Blvd
Suite 705
Honolulu, HI 96813-5212
Phone (808) 597-8778

Other practice location 2

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000

Other identifiers 1

IdentifierTypeStateIssuer
MD17442OtherHIMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA, MN, VA, TX5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20140804001977 HI Practitioner - Emergency Medicine 6507083243 Reassigns benefits to 5 organizations
I20240215002499 CA Practitioner - Emergency Medicine 6507083243 Reassigns benefits to 1 organization
I20241216001330 MN Practitioner - Emergency Medicine 6507083243 Reassigns benefits to 1 organization
I20241216001531 VA Practitioner - Emergency Medicine 6507083243 Reassigns benefits to 1 organization
I20250217002737 TX Practitioner - Emergency Medicine 6507083243

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD17442HIMDEmergency Medicine Physician
77344MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Medical Clinicians PA Emergency Medicine CurrentSince Sep 18, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 1, 2024 Accepting new patients
The Emergency Group, Inc. Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Relymd Virtual Health Regional, PC Emergency Medicine CurrentSince Jun 22, 2025 Accepting new patients
Relymd Virtual Health Ca, PC Emergency Medicine CurrentSince Oct 5, 2025 Accepting new patients
Relymd Virtual Health Ga, LLC Emergency Medicine CurrentSince May 20, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Nov 5, 2024 Accepting new patients
Geniemd Medical Group, Mo, P.C. CurrentSince Jan 13, 2024 Accepting new patients
Relymd Virtual Health TX, PA Emergency Medicine CurrentSince Jan 6, 2026 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 1, 2024 Accepting new patients
Allina Health System CurrentSince Nov 5, 2024 Accepting new patients
Insight Therapy Solutions LLC Emergency Medicine PastSince Sep 1, 2022 Accepting new patients

Locations

1111 Broadway
Ste 300
Oakland, CA 94607
Phone (281) 948-8014

6612 Owens Dr
Pleasanton, CA 94588
Phone (928) 460-9191

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

770 Kapiolani Blvd
Ste 705
Honolulu, HI 96813
Phone (808) 597-8778

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

4760 S Pecos Rd
Ste 103
Las Vegas, NV 89121
Phone (702) 369-9706

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

2215 Landover Pl
Lynchburg, VA 24501
Phone (434) 947-3900

2321 Wards Rd
Lynchburg, VA 24502
Phone (434) 582-2273

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • Direct secure messaging: kyle.chong.1@24008.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1952698516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 KAPIOLANI BLVD STE 705",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135241",
            "telephone_number": "808-597-8778",
            "fax_number": "808-597-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 153",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "844-484-7362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Kapiolani Blvd",
            "address_2": "Suite 705",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968135212",
            "country_code": "US",
            "telephone_number": "808-597-8778",
            "fax_number": "808-597-8781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2925 Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554071321",
            "country_code": "US",
            "telephone_number": "612-262-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHONG",
        "first_name": "KYLE",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD17442",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "77344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD17442",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.