SAMUEL W WONG D.O.
NPI 1598059198
Pediatrics - Neonatal-Perinatal Medicine in Iowa City, IA

Q: What is Samuel Wong's NPI number?

The NPI number for Samuel Wong is 1598059198. It was assigned to this individual provider in the NPPES registry on June 1, 2011.

Q: What is Samuel Wong's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Wong was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 01, 2011PECOS Enrolled

200 HAWKINS DR, IOWA CITY, IA 52242(319) 356-7096(319) 356-3675 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2020, Jun 6, 2017 (2 updates tracked since 2017).

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About Samuel W Wong D.o. NPPES

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

SAMUEL W WONG D.O. (NPI 1598059198) is an individual neonatal-perinatal medicine provider in Iowa City, Iowa, licensed in Iowa (DO-05559) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598059198

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameSAMUEL W WONGCredential: D.O.

Location Address200 HAWKINS DRIowa City, IA 52242-1009

Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 356-7096 · Fax (319) 356-3675

Phone(319) 356-7096

Fax(319) 356-3675

Sole ProprietorNo

Enumeration DateJune 1, 2011

Last NPPES UpdateJuly 16, 20202 updates tracked since enumeration

NPPES CertifiedJuly 16, 2020

✔ NPI 1598059198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Licenses✔ Licensed in IA · DO-05559✔ Licensed in IN · 02004423

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License DO-05559 (IA)

200 HAWKINS DR, Iowa City, IA 52242

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Sanford Health Plan, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel W Wong D.o. 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 Reassignments

Medicare enrollment records show Samuel Wong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

State University Of Iowa

Same address

Dentist

200 HAWKINS DRIVE, 51300 POMERANTZ FAMILY PAVILION
Iowa City, IA 52242

Reassigned Medicare billing, Iowa enrollment
2,190 clinicians in this Medicare group

NPI 1114905387 (319) 356-2743

Sapphire At Gresham Rehab, LLC

1,562 mi

Skilled Nursing Facility

405 NE 5TH ST
Gresham, OR 97030

Reassigned Medicare billing, Oregon enrollment
Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
3,207 clinicians in this Medicare group

NPI 1033740899 (503) 666-5600

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.

SANGIL LEE M.D.

Emergency Medicine

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-2233

RAMI G. EL ABIAD M.D.

Internal Medicine (Gastroenterology)

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-4901

GRERK SUTAMTEWAGUL MD

Internal Medicine (Hematology & Oncology)

200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242

Johnson County (319) 356-1616

DR. KALEB TANNER VEIT D.O.

Internal Medicine (Critical Care Medicine)

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-2320

OMAR JABER M.D

Chronic Disease Hospital

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 471-8958

JENNIFER MANCUSO MS, CGC

Genetic Counselor, MS

200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242

Johnson County (319) 384-7983

ASHLEY KAISER M.D.

Obstetrics & Gynecology

200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242

Johnson County (319) 356-2294

MRS. NANCY JANE MILLICE

Health Educator

200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242

Johnson County (319) 356-3825

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 Samuel Wong's NPI number?

The NPI number for Samuel Wong is 1598059198. It was assigned to this individual provider in the NPPES registry on June 1, 2011.

Where is Samuel Wong located?

Samuel Wong practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 356-7096.

What is Samuel Wong's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Samuel Wong enrolled in Medicare?

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

Which organizations bill Medicare for Samuel Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Wong reassigns Medicare benefits to 2 organizations: State University Of Iowa (Iowa City, IA) and Sapphire At Gresham Rehab, LLC (Gresham, OR). 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 Samuel Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Wong accept?

Health plans from Oscar Insurance Company, Sanford Health Plan and Wellmark Health Plan of Iowa, Inc. list Samuel 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 Samuel Wong was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.