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EDILISA LU ONG
NPI 1922730910
Pediatrics in Tyler, TX

Active since June 28, 2022PECOS Enrolled
1000 E 5TH ST STE 400, TYLER, TX 75701(903) 590-5000(903) 747-4200 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edilisa Lu Ong NPPES

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

EDILISA LU ONG (NPI 1922730910) is an individual pediatrics provider in Tyler, Texas, licensed in Texas (V8715) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1922730910
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameEDILISA LU ONG
Location Address1000 E 5TH ST STE 400Tyler, TX 75701-3362
Mailing Address1000 E 5th St Ste 400Tyler, TX 75701-3362 · (903) 590-5000 · Fax (903) 590-5005
Phone(903) 590-5000
Fax(903) 747-4200
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 28, 2022
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
✔ NPI 1922730910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · V8715
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1000 E 5TH ST STE 400, Tyler, TX 75701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edilisa Lu Ong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416455126
PECOS Enrollment IDI20250812002411
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES H. LEE M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1000 E 5TH ST STE 400
TYLER, TX 75701
Smith County (903) 595-6680
DR. CORY LEE CUMMINGS M.D.
Family Medicine
1000 E 5TH ST STE 400
TYLER, TX 75701
Smith County (903) 596-3500
FELISHA JONES NP
Nurse Practitioner
1000 E 5TH ST STE 400
TYLER, TX 75701
Smith County (903) 590-5120
ETMC PHYSICIAN GROUP INC.
Durable Medical Equipment & Medical Supplies
1000 E 5TH ST STE 400
TYLER, TX 75701
Smith County (903) 593-1749
NICHOLE BIRDSONG FORD MD
Family Medicine
1000 E 5TH ST STE 400
TYLER, TX 75701
Smith County (903) 596-3500
MADHURI KASIREDDY MD
Internal Medicine
1000 E 5TH ST STE 400
TYLER, TX 75701
Smith County (903) 596-3500
MARY MARTHA RAMIREZ
Nurse Practitioner (Family)
1000 E 5TH ST STE 400
TYLER, TX 75701
Smith County (903) 596-3500

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 Edilisa Ong's NPI number?

The NPI number for Edilisa Ong is 1922730910. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is Edilisa Ong located?

Edilisa Ong practices at 1000 E 5th St Ste 400, Tyler, TX 75701. The listed phone number is (903) 590-5000.

What is Edilisa Ong's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Edilisa Ong enrolled in Medicare?

Yes. Edilisa Ong is registered in the Medicare PECOS enrollment system.

What insurance does Edilisa Ong accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Edilisa Ong 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 Edilisa Ong was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.