Individual provider Active NPI

Robert Francisco Wong, MD

  • Gastroenterology Physician
  • Aiea, HI
National Provider Identifier
1982784898
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD 11244 Issued in HI
Practice address
98-211 Pali Momi Street
Suite 312
Aiea, HI 96701-4714
Phone
(808) 486-0449
Fax
(808) 488-0725
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4914614-1205 UT
Gastroenterology Physician 207RG0100X MD 11244 HI Primary

Addresses

Primary practice location

98-211 Pali Momi Street
Suite 312
Aiea, HI 96701-4714

Mailing address

98-211 Pali Momi Street
Suite 312
Aiea, HI 96701-4714
Phone (808) 486-0449

Other identifiers 2

IdentifierTypeStateIssuer
497116MedicaidHI
H102854OtherHIMEDICARE UPIN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070913000462 HI Practitioner - Internal MedicinePractitioner - Gastroenterology 8022001379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Temple University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Gastroenterology SpecialistGroup PAC ID 7618120437, 6 clinicians

Practice addresses (Care Compare)

98 -211 Pali Momi St
Suite 312
Aiea, HI 96701-4306
Phone (808) 486-0449

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy316
Upper gastrointestinal (GI) endoscopy for acid reflux238

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 11244HIMDGastroenterology Physician
4914614-1205UTMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Gastroenterology Specialist Gastroenterology CurrentSince Nov 3, 2012 Accepting new patients

Locations

98-211 Pali Momi St
Ste 312
Aiea, HI 96701
Phone (808) 486-0449

98-1079 Moanalua Rd
Ste 620
Aiea, HI 96701
Phone (808) 486-0429

1029 Makolu St
Ste H
Pearl City, HI 96782
Phone (808) 456-6420

Interoperability endpoints

  • Direct secure messaging: robert.wong@754.chartlogic.direct-ci.com

Organizations & group practices 1

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 3

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1982784898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI STREET",
            "address_2": "SUITE 312",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014714",
            "telephone_number": "808-486-0449",
            "fax_number": "808-488-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI STREET",
            "address_2": "SUITE 312",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014714",
            "telephone_number": "808-486-0449",
            "fax_number": "808-488-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ROBERT",
        "middle_name": "FRANCISCO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "UT",
            "license": "4914614-1205",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "HI",
            "license": "MD 11244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497116",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "H102854",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.