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

Q: 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.

Q: What is Richard Wong's specialty?

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

Q: 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 23 months 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.

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: August 02, 2026.

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

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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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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.

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