1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Pediatrics
  6. NPI Profile

RICHARD WONG DO
NPI 1174020200
Pediatrics - Pediatric Pulmonology in Phoenix, AZ

Active since April 05, 2018PECOS EnrolledAccepts Medicare Assignment
1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0985(602) 933-2423 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 23, 2024, Jun 30, 2024, Dec 5, 2023 and 1 more (4 updates tracked since 2021).

About Richard Wong Do NPPES

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

RICHARD WONG DO (NPI 1174020200) is an individual pediatric pulmonology provider in Phoenix, Arizona, licensed in Arizona (010765) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1174020200
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameRICHARD WONGCredential: DO
Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710
Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (602) 933-3124
Phone(602) 933-0985
Fax(602) 933-2423
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 5, 2018
Last NPPES UpdateAugust 23, 20244 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
✔ NPI 1174020200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in AZ · 010765
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
1919 E THOMAS RD, Phoenix, AZ 85016
Open in Google Maps ↗

Secondary Practice Location 1

Location 13030 Childrens Way Ste 205San Diego, CA 92123-4227 · Phone (858) 966-5846

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

Richard Wong Do 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.

PECOS PAC ID3678015575
PECOS Enrollment IDI20240606003048
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.

Medicare Billing Reassignment

Medicare enrollment records show Richard Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Children's Hospital
Same address
Pediatrics
1919 E THOMAS RD
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 1,416 clinicians in this Medicare group
NPI 1922112044 (602) 933-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. TIMUR RAGHIB M.D.
Hospitalist
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0777
MRS. MARIA T ESCOBAR CSP, RD
Dietitian, Registered
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (480) 440-2787
DR. AHMAR HUSAIN MD
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-4660
MRS. SOLEE R COWLEY LCSW
Social Worker (Clinical)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0414
MR. SEAN PATRICK BRADY DO
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-4660
PRIYA PRASHER M.D.
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1900
DR. AMIT RAJARAM D.O.
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-0198
LAURA GARDNER HAMANT
Pediatrics (Pediatric Gastroenterology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Maricopa County (602) 933-1000

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 Richard Wong's NPI number?

The NPI number for Richard Wong is 1174020200. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Richard Wong located?

Richard Wong practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 933-0985.

What is Richard Wong's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Richard Wong enrolled in Medicare?

Yes. Richard 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 organization bills Medicare for Richard Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Wong reassigns Medicare benefits to Phoenix Children's Hospital (Phoenix, AZ). The 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 Richard 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 Richard Wong was last updated on August 23, 2024. 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.