DR. PHILLIP WONG D.M.D
NPI 1417331067
Dentist - Oral and Maxillofacial Radiology in Doral, FL

Q: What is Phillip Wong's NPI number?

The NPI number for Phillip Wong is 1417331067. It was assigned to this individual provider in the NPPES registry on July 14, 2015.

Q: What is Phillip Wong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Radiology, with taxonomy code 1223X0008X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Wong was last updated on August 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 July 14, 2015PECOS Enrolled

9732 NW 32ND ST, DORAL, FL 33172(317) 593-5375 Get Directions Write a Review

NPPES record last updated: August 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Phillip Wong D.m.d NPPES

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

DR. PHILLIP WONG D.M.D (NPI 1417331067) is an individual oral and maxillofacial radiology provider in Doral, Florida, licensed in Florida (DN30000) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417331067

Entity TypeIndividualMale

Primary Taxonomy1223X0008X

Provider Legal NameDR. PHILLIP WONGCredential: D.M.D

Location Address9732 NW 32ND STDoral, FL 33172-1030

Mailing Address9732 Nw 32nd StDoral, FL 33172-1030 · (317) 593-5375

Phone(317) 593-5375

Sole ProprietorYes

Enumeration DateJuly 14, 2015

Last NPPES UpdateAugust 3, 2025

NPPES CertifiedAugust 3, 2025

✔ NPI 1417331067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial RadiologyDental Providers

Taxonomy Code1223X0008X

License✔ Licensed in FL · DN30000

Definition

The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 12012872A (IN)

9732 NW 32ND ST, Doral, FL 33172

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Phillip Wong D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Phillip Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Indiana University

1,019 mi

General Practice

1121 W MICHIGAN ST
Indianapolis, IN 46202

Reassigned Medicare billing, Indiana enrollment
32 clinicians in this Medicare group

NPI 1689790552 (317) 274-7433

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 33172 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Phillip Wong's NPI number?

The NPI number for Phillip Wong is 1417331067. It was assigned to this individual provider in the NPPES registry on July 14, 2015.

Where is Phillip Wong located?

Phillip Wong practices at 9732 NW 32nd St, Doral, FL 33172. The listed phone number is (317) 593-5375.

What is Phillip Wong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Radiology, with taxonomy code 1223X0008X.

Is Phillip Wong enrolled in Medicare?

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

Which organization bills Medicare for Phillip Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Wong reassigns Medicare benefits to Indiana University (Indianapolis, IN). 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 Phillip 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 Phillip Wong was last updated on August 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.