NPIMap

Individual provider Active NPI

Christopher D Wong, MD

  • Family Medicine Physician
  • Sioux Falls, SD
National Provider Identifier
1972865400
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29167 Issued in NE
Practice address
1115 E 20TH St
Sioux Falls, SD 57105-1013
Phone
(605) 339-1783
Fax
(605) 367-7157
NPI assigned
Jun 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29167 NE Primary

Addresses

Primary practice location

1115 E 20TH St
Sioux Falls, SD 57105-1013

Mailing address

1115 E 20TH St
Sioux Falls, SD 57105-1013
Phone (605) 339-1783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160818000875 NE Practitioner - Family Practice 3476782749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tulane University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ogallala Community HospitalGroup PAC ID 3072517523, 11 clinicians
Banner Health Physicians West LLCGroup PAC ID 5092978866, 92 clinicians

Practice addresses (Care Compare)

2601 N Spruce St
Ogallala, NE 69153-2465
Phone (308) 284-4011

Hospital & facility affiliations

  • Ogallala Community Hospital Hospital, Ogallala, NE, CCN 281355
  • Great Plains Health Hospital, North Platte, NE, CCN 280065
  • Perkins County Health Services Hospital, Grant, NE, CCN 281356
  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • Indian Hills Manor Nursing home, Ogallala, NE, CCN 285091
  • Ogallala Community Hospital Nursing home, CCN 28Z355

Merit-based Incentive Payment System (MIPS)

Final score
31.28 of 100Reported as group
Quality
19.15
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.9 of 100Reported as group
Quality
68.13
Promoting interoperability
99
Improvement activities
40
Cost
69.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29167NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ogallala Community Hospital CurrentSince Jun 16, 2018 Accepting new patients
Ogallala Community Hospital Family Medicine CurrentSince Jun 16, 2018 Accepting new patients
Kismet Oga, LLC Past Accepting new patients

Locations

2601 N Spruce St
#A
Ogallala, NE 69153
Phone (308) 284-4011

2601 N Spruce St
Ogallala, NE 69153
Phone (308) 284-3645

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Indian Hills ManorOgallala, NE, CCN 285091 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 15, 2025
Nov 15, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1972865400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E 20TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051013",
            "telephone_number": "605-339-1783",
            "fax_number": "605-367-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 E 20TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051013",
            "telephone_number": "605-339-1783",
            "fax_number": "605-367-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "29167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.