MR. WILSON SHEN WONG MD
NPI 1255302097
Radiology - Diagnostic Radiology in Arcadia, CA
About Mr. Wilson Shen Wong Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. WILSON SHEN WONG MD (NPI 1255302097) is an individual diagnostic radiology provider in Arcadia, California, licensed in California (G39963) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Arcadia.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 (PECOS)
Mr. Wilson Shen Wong Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Wilson Wong reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pasadena, CA 91105
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1962457812 (California)
- 335 clinicians in this Medicare group
Los Angeles, CA 90025
- Reassigned Medicare billing, California enrollment
- 311 clinicians in this Medicare group
Encino, CA 91436
- Reassigned Medicare billing, California enrollment
- 329 clinicians in this Medicare group
Tehachapi, CA 93561
- Reassigned Medicare billing, California enrollment
- 252 clinicians in this Medicare group
San Francisco, CA 94118
- Reassigned Medicare billing, California enrollment
- 219 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91007 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.
Reported Quality Measures
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.
ARCADIA, CA 91007
ARCADIA, CA 91007
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 Wilson Wong's NPI number?
The NPI number for Wilson Wong is 1255302097. It was assigned to this individual provider in the NPPES registry on January 30, 2006.
Where is Wilson Wong located?
Wilson Wong practices at 300 W Huntington Dr, Arcadia, CA 91007. The listed phone number is (626) 898-8610.
What is Wilson Wong's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Wilson Wong enrolled in Medicare?
Yes. Wilson Wong is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Wilson Wong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wilson Wong reassigns Medicare benefits to 5 organizations: Beverly Radiology Medical Group III (Pasadena, CA), Pronet Imaging Medical Group, Inc. (Los Angeles, CA), San Fernando Valley Interventional Radiology And Imaging Center (Encino, CA), Kern Radiology Medical Group, Inc (Tehachapi, CA) and Radnet Medical Imaging-San Francisco (San Francisco, 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 Wilson 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 Wilson Wong was last updated on October 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mr. Wilson Shen Wong, MD · NPI 1255302097
Diagnostic Radiology physician in Arcadia, California. Individual provider, active in the CMS NPPES registry since January 30, 2006.
## Identity
- **NPI:** 1255302097 (Entity type: Individual)
- **Enumerated:** January 30, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** G39963 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 W HUNTINGTON DR, Arcadia, CA 91007
- **Phone:** (626) 898-8610
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Beverly Radiology Medical Group III (NPI 1093998122, Pasadena, CA); Pronet Imaging Medical Group, Inc. (NPI 1528099488, Los Angeles, CA); San Fernando Valley Interventional Radiology And Imaging Center (NPI 1942350889, Encino, CA); Kern Radiology Medical Group, Inc (NPI 1699294025, Tehachapi, CA); Radnet Medical Imaging-San Francisco (NPI 1548345382, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 4, 2019
- **Other identifiers:** Other 300058011; Other 300037247
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Source: [NPI Profile](https://npiprofile.com/npi/1255302097) · Data from the CMS NPPES public registry.