GRACE I WONG M.D.
NPI 1053504902
Internal Medicine in Burbank, CA
About Grace I Wong M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE I WONG M.D. (NPI 1053504902) is an individual internal medicine provider in Burbank, California, licensed in Pennsylvania (MD 432620) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Grace I Wong M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Grace Wong reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Burbank, CA 91505
- Reassigned Medicare billing, California enrollment
Burbank, CA 91505
- Reassigned Medicare billing, California enrollment
- 43 clinicians in this Medicare group
Laguna Hills, CA 92653
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Grace Wong's NPI number?
The NPI number for Grace Wong is 1053504902. It was assigned to this individual provider in the NPPES registry on August 23, 2007.
Where is Grace Wong located?
Grace Wong practices at 3808 W Riverside Dr Ste 201, Burbank, CA 91505. The listed phone number is (818) 563-1449.
What is Grace Wong's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Grace Wong enrolled in Medicare?
Yes. Grace Wong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Grace Wong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Wong reassigns Medicare benefits to 3 organizations: Grace Wong MD Inc (Burbank, CA), St. Joseph Hospitalist Medical Group, Inc. (Burbank, CA) and Verdant Medicine, PC (Laguna Hills, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grace Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Grace Wong was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Grace I Wong, M.D. · NPI 1053504902
Internal Medicine physician in Burbank, California. Individual provider, active in the CMS NPPES registry since August 23, 2007.
## Identity
- **NPI:** 1053504902 (Entity type: Individual)
- **Enumerated:** August 23, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD 432620 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3808 W RIVERSIDE DR STE 201, Burbank, CA 91505-4339
- **Phone:** (818) 563-1449 · **Fax:** (818) 563-1049
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Grace Wong MD Inc (NPI 1659648384, Burbank, CA); St. Joseph Hospitalist Medical Group, Inc. (NPI 1396166971, Burbank, CA); Verdant Medicine, PC (NPI 1578943023, Laguna Hills, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** December 28, 2023
- **Other identifiers:** Medicaid 101996474 (PA); Other 1659648384 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1053504902) · Data from the CMS NPPES public registry.