Active NPI
Robert Francisco Wong, MD
- Gastroenterology Physician
- Aiea, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD 11244
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 497116 | Medicaid | HI | |
| H102854 | Other | HI | MEDICARE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Temple University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 316 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 238 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 11244 | HI | MD | Gastroenterology Physician |
| 4914614-1205 | UT | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawaii Gastroenterology Specialist | Gastroenterology | Current | 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
- 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.
-
- Gastroenterology Physician
- Aiea, HI
- NPI 1790033454
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aiea, HI
- NPI 1013961408
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1720031701
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.