MARY WONG M.D.
NPI 1417994195
Pediatrics - Neurodevelopmental Disabilities in Mayfield Hts, OH
About Mary Wong M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY WONG M.D. (NPI 1417994195) is an individual neurodevelopmental disabilities provider in Mayfield Hts, Ohio, licensed in Ohio (35.078204) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Wong M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cleveland, OH 44195
- Reassigned Medicare billing, Ohio enrollment
- 7,608 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.
CLEVELAND, OH 44124
MAYFIELD HEIGHTS, OH 44124
MAYFIELD HEIGHTS, OH 44124
MAYFIELD HEIGHTS, OH 44124
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 Mary Wong's NPI number?
The NPI number for Mary Wong is 1417994195. It was assigned to this individual provider in the NPPES registry on June 1, 2006.
Where is Mary Wong located?
Mary Wong practices at 6780 Mayfield Rd, Mayfield Hts, OH 44124. The listed phone number is (216) 449-4500.
What is Mary Wong's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.
Is Mary Wong enrolled in Medicare?
Yes. Mary Wong is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Wong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Wong reassigns Medicare benefits to The Cleveland Clinic Foundation (Cleveland, OH). 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 Mary Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Wong accept?
Health plans from Taro Health list Mary Wong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Wong was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mary Wong, M.D. · NPI 1417994195
Neurodevelopmental Disabilities physician in Mayfield Hts, Ohio. Individual provider, active in the CMS NPPES registry since June 1, 2006.
## Identity
- **NPI:** 1417994195 (Entity type: Individual)
- **Enumerated:** June 1, 2006
- **Primary specialty:** Pediatrics - Neurodevelopmental Disabilities · taxonomy 2080P0008X
- **State license:** 35.078204 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6780 MAYFIELD RD, Mayfield Hts, OH 44124-2203
- **Phone:** (216) 449-4500
## 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:** The Cleveland Clinic Foundation (NPI 1679525919, Cleveland, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2016
- **Other identifiers:** Other 942460636468 (OH); Medicaid 2216444 (OH); Medicare UPIN F85611 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1417994195) · Data from the CMS NPPES public registry.