Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIT RICHARD WONG D.O.
NPI 1811453582
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since February 18, 2019PECOS Enrolled
1111 E MCDOWELL RD, PHOENIX, AZ 85006(602) 839-2000 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2026, Jun 2, 2025, Jul 24, 2022 and 3 more (6 updates tracked since 2019).

About Kit Richard Wong D.o. NPPES

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

KIT RICHARD WONG D.O. (NPI 1811453582) is an individual student in an organized health care education/training program in Phoenix, Arizona, licensed in Arizona (012311) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811453582
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKIT RICHARD WONGCredential: D.O.
Location Address1111 E MCDOWELL RDPhoenix, AZ 85006-2612
Mailing Address1111 E Mcdowell RdPhoenix, AZ 85006-2612 · (602) 839-2000
Sole ProprietorNo
Enumeration DateFebruary 18, 2019
Last NPPES UpdateJuly 20, 20266 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
NPI 1811453582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code390200000X
License Licensed in AZ · 012311
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 75070-21 (WI)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 75070-21 (WI)
1111 E MCDOWELL RD, Phoenix, AZ 85006

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kit Richard 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.

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.

Emergency Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Internal Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Psychiatry & Neurology (Neurology)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Emergency Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Physician Assistant (Medical)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Nurse Practitioner (Acute Care)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Physician Assistant
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Pharmacist
1111 E MCDOWELL RD, BANNER GOOD SAMARITAN MEDICAL CENTER PHARMACY
PHOENIX, AZ 85006

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 Kit Wong's NPI number?

The NPI number for Kit Wong is 1811453582. It was assigned to this individual provider in the NPPES registry on February 18, 2019.

Where is Kit Wong located?

Kit Wong practices at 1111 E Mcdowell Rd, Phoenix, AZ 85006. The listed phone number is (602) 839-2000.

What is Kit 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 Kit Wong enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kit Wong was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.