Eugene G C Wong, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

1785 Issued in HI

Practice address

1380 Lusitana St
Suite 814
Honolulu, HI 96813-2449

Phone

(808) 521-3802

Fax

(808) 521-1738

NPI assigned

Sep 19, 2005

Last updated

Mar 31, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in HI

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

Specialty

Nephrology

Education

Washington University School of Medicine, 1965

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Liberty Dialysis Hawaii - Siemsen Dialysis Dialysis facility, Honolulu, HI, CCN 122518
• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

Merit-based Incentive Payment System (MIPS)

Final score

20.06 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

66.87

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Eugene G C Wong MD Inc

  • Specialist
  • Honolulu, HI
  • NPI 1801961909
  Medicare reassignment NPD Authorized official
• Nephrology Consultants

  • Specialist
  • Honolulu, HI
  • NPI 1124064621
  Authorized official Same address or phone
• Liberty Dialysis-Hawaii, LLC

  dba Fresenius Kidney Care Hilo Lanikaula

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hilo, HI
  • NPI 1235854399
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Liberty Dialysis - Hawaii LLC

  dba Liberty Dialysis Hawaii - Siemsen Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Honolulu, HI
  • NPI 1740221621

  Dialysis facility

  Care Compare affiliation Name & address match
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  Care Compare affiliation

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1972598605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 814",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-521-3802",
            "fax_number": "808-521-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 814",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-521-3802",
            "fax_number": "808-521-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "EUGENE",
        "middle_name": "G C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "1785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031393-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "CO34813",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Kin Ming Wong, M.D.
• Davis J Wong
• Dayna Wong, DNP, ARNP
• Earl Y. Wong, MD
• Esther Wing CHI Wong, M.D.
• Gabriel Ka Wing Wong, M.D.,PH.D.
• Gail K. Wong, NP
• Gary Y Q Wong, DDS
• Gordon W.S. Wong
• Grace Kar-Ying Wong, M.D.

• Nephrology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Nephrology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.

Verify at the official NPI Registry.