SAMANTHA WONG MD
NPI 1730838301
Student in an Organized Health Care Education/Training Program in San Jose, CA
About Samantha Wong Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA WONG MD (NPI 1730838301) is an individual student in an organized health care education/training program in San Jose, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2022).
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
Samantha Wong Md 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 Samantha Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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 Samantha Wong's NPI number?
The NPI number for Samantha Wong is 1730838301. It was assigned to this individual provider in the NPPES registry on March 21, 2022.
Where is Samantha Wong located?
Samantha Wong practices at 276 International Cir Unit D, San Jose, CA 95119. The listed phone number is (650) 868-6269.
What is Samantha Wong's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Samantha Wong enrolled in Medicare?
Yes. Samantha 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 Samantha Wong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Wong reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Samantha 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 Samantha Wong was last updated on March 21, 2022. 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.
# Samantha Wong, MD · NPI 1730838301
Student in an Organized Health Care Education/Training Program provider in San Jose, California. Individual provider, active in the CMS NPPES registry since March 21, 2022.
## Identity
- **NPI:** 1730838301 (Entity type: Individual)
- **Enumerated:** March 21, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 276 INTERNATIONAL CIR UNIT D, San Jose, CA 95119-1130
- **Phone:** (650) 868-6269
## 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:** Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Duke University School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** March 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1730838301) · Data from the CMS NPPES public registry.