Active NPI
Michael Yoon-Ki Hong, DO
- Family Medicine Physician
- Wake Forest, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2023-01790
- Practice address
- 2001 S Main St
Wake Forest, NC 27587-1652 - Phone
- (919) 350-0365
- NPI assigned
- May 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MB11236000 | NJ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NJ | ||
| Family Medicine Physician | 207Q00000X | 2023-01790 | NC | Primary |
Addresses
Primary practice location
2001 S Main St
Wake Forest, NC 27587-1652
Mailing address
PO Box 602195
Charlotte, NC 28260-2195
Phone (919) 350-0351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972168946 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240208004017 | NC | Practitioner - Family Practice | 3779981683 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Campbell Univ School of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
2001 S Main St
Wake Forest, NC 27587-1649
Phone (919) 235-6540
2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600
Hospital & facility affiliations
- Wakemed, Raleigh Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023-01790 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Specialty Physicians | Family Medicine | Current | Accepting new patients |
| Inspira Health Network Medical Group, P.C. | Current | Accepting new patients | |
| Wake Specialty Physicians, LLC | Family Medicine | Current | Accepting new patients |
| Wake Specialty Physicians LLC | Current | Accepting new patients | |
| Wake Specialty Physicians LLC | Family Medicine | Past | Accepting new patients |
| Peripheral Vascular Institute of Philadelphia LLC | Past | Accepting new patients |
Locations
2216 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020
7021 NC Highway 751
Durham, NC 27707
Phone (919) 235-0365
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630
815 Springfield Commons Dr
Raleigh, NC 27609
Phone (919) 235-1400
6800 Glenwood Ave
Raleigh, NC 27612
Phone (919) 235-1939
4530 Fayetteville Rd
Raleigh, NC 27603
Phone (919) 235-1930
938 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 235-1525
2001 S Main St
Wake Forest, NC 27587
Phone (919) 562-3155
1260 N Arendell Ave
Zebulon, NC 27597
Phone (919) 235-1326
70 Cornwell Dr
Bridgeton, NJ 08302
Phone (856) 455-6770
1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071
200 Rowan Blvd
Glassboro, NJ 08028
Phone (856) 582-0500
798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161
1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- mhong117435@directhisp.wakemed.org
Organizations & group practices 6
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
- Fuquay Varina, NC
- NPI 1578334892
-
- Multi-Specialty Clinic/Center
- Glassboro, NJ
- NPI 1922177856
-
- Family Medicine Physician
- Morrisville, NC
- NPI 1174491138
Family Medicine
-
- Vascular-Interventional Technology Radiologic Technologist
- Philadelphia, PA
- NPI 1396074480
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": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1972168946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602195",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602195",
"telephone_number": "919-350-0351",
"fax_number": "919-350-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S MAIN ST",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275871652",
"telephone_number": "919-350-0365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "MICHAEL",
"middle_name": "YOON-KI",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-06",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MB11236000",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2023-01790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972168946",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.