KERRI LILY WONG CAA
NPI 1174213318
Anesthesiologist Assistant in Washington, DC

Active since May 10, 2023
111 MICHIGAN AVE NW, WASHINGTON, DC 20010(888) 884-2327 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kerri Lily Wong Caa NPPES

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

KERRI LILY WONG CAA (NPI 1174213318) is an individual anesthesiologist assistant in Washington, District Of Columbia and active in the NPI registry since May 2023. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1174213318
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameKERRI LILY WONGCredential: CAA
Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916
Mailing Address107 Tokeena CtGoose Creek, SC 29445-5751 · (843) 847-8063
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 10, 2023
NPPES CertifiedMay 10, 2023
✔ NPI 1174213318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
111 MICHIGAN AVE NW, Washington, DC 20010

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerri Lily Wong Caa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941760284
PECOS Enrollment IDI20260904003745

Medicare Billing Reassignment

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

Pediatrics
1575 NORTHEAST EXPY NE
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • 251 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.

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.

Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010

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 Kerri Wong's NPI number?

The NPI number for Kerri Wong is 1174213318. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Kerri Wong located?

Kerri Wong practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (888) 884-2327.

What is Kerri Wong's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Kerri Wong enrolled in Medicare?

Yes. Kerri Wong is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kerri Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerri Wong reassigns Medicare benefits to Choa Hospital Based, LLC (Brookhaven, GA). 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 Kerri 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 Kerri Wong was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.