1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Pediatrics
  6. NPI Profile

DR. ALICE KIM GONG MD
NPI 1114034113
Pediatrics - Neonatal-Perinatal Medicine in San Antonio, TX

Active since August 24, 2006PECOS Enrolled
4502 MEDICAL DR FL 5, SAN ANTONIO, TX 78229(210) 257-1400 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alice Kim Gong Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALICE KIM GONG MD (NPI 1114034113) is an individual neonatal-perinatal medicine provider in San Antonio, Texas, licensed in Texas (G9104) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114034113
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. ALICE KIM GONGCredential: MD
Location Address4502 MEDICAL DR FL 5San Antonio, TX 78229-4402
Mailing AddressUthscsa, Uthscsa, Dept. Of Pediatrics, 7703 Floyd Curl Drive, Msc 7812San Antonio, TX 78229-3900 · (210) 358-1593
Phone(210) 257-1400
Sole ProprietorNo
Enumeration DateAugust 24, 2006
Last NPPES UpdateJuly 13, 2007
✔ NPI 1114034113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in TX · G9104
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
4502 MEDICAL DR FL 5, San Antonio, TX 78229
Open in Google Maps ↗

Other Identifiers 1

Medicaid103027201TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alice Kim Gong Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH ANNE HINOJOSA PNP-AC
Nurse Practitioner
4502 MEDICAL DR FL 5
SAN ANTONIO, TX 78229
Bexar County (210) 562-5365

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 Alice Gong's NPI number?

The NPI number for Alice Gong is 1114034113. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Alice Gong located?

Alice Gong practices at 4502 Medical Dr Fl 5, San Antonio, TX 78229. The listed phone number is (210) 257-1400.

What is Alice Gong's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Alice Gong enrolled in Medicare?

Yes. Alice Gong is registered in the Medicare PECOS enrollment system.

What insurance does Alice Gong accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and WellPoint list Alice Gong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alice Gong was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.