DR. CARRIE WONG M.D.
NPI 1366604365
Internal Medicine - Gastroenterology in San Diego, CA
About Dr. Carrie Wong M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARRIE WONG M.D. (NPI 1366604365) is an individual gastroenterology provider in San Diego, California, licensed in California (A130415) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2008).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Carrie Wong M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Carrie Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92108
- Reassigned Medicare billing, California enrollment
- 13,921 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 92154 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Carrie Wong's NPI number?
The NPI number for Carrie Wong is 1366604365. It was assigned to this individual provider in the NPPES registry on June 30, 2008.
Where is Carrie Wong located?
Carrie Wong practices at 4650 Palm Ave, San Diego, CA 92154. The listed phone number is (917) 405-3432.
What is Carrie Wong's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Carrie Wong enrolled in Medicare?
Yes. Carrie 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 Carrie Wong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Wong reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). 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 Carrie 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 Carrie Wong was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Carrie Wong, M.D. · NPI 1366604365
Gastroenterology physician in San Diego, California. Individual provider, active in the CMS NPPES registry since June 30, 2008.
## Identity
- **NPI:** 1366604365 (Entity type: Individual)
- **Enumerated:** June 30, 2008
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** A130415 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4650 PALM AVE, San Diego, CA 92154-8404
- **Phone:** (917) 405-3432
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1023425972, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albert Einstein College Of Medicine Of Yeshiva University, class of 2008
## Record status
- **NPPES last updated:** November 4, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1366604365) · Data from the CMS NPPES public registry.