PETER WONG MD – NPI #1952344509
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

PETER WONG is a surgeon located in MOUNT VERNON, IL. NPPES has assigned the NPI number 1952344509 to PETER WONG on June 13, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 6 years ago on Oct 21, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PETER WONG below.

NPI Profile for
PETER WONG

NPI Number
1952344509
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PETER WONG
Credentials
MD
Primary location
2 GOOD SAMARITAN WAY STE 235
MOUNT VERNON, IL 62864-2476
Phone: (618) 899-3980 Fax:
1 Other location(s):
4069 Lake Dr SE
S-312
Grand Rapids, MI 49546-8816
Phone: (616) 267-8700
Mailing address
PO BOX 955860 MC 845
SAINT LOUIS, MO 63195-2560
Phone: (636) 498-5944 Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 21, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)		 MI 4301076962

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
2 GOOD SAMARITAN WAY STE 235,
MOUNT VERNON, IL 77025-1669
Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
2 GOOD SAMARITAN WAY STE 235,
MOUNT VERNON, IL 77025-1669

Additional Information

Education
CHICAGO COLLEGE OF MEDICINE AND SURGERY - Graduated 2002
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
PETER WONG is affiliated with the following medical group(s):
  • HOSPITAL
    • SALEM TOWNSHIP HOSPITAL
      1201 RICKER DRIVE
      SALEM, IL 62881
    • SSM HEALTH - GOOD SAMARITAN HOSPITAL
      1 GOOD SAMARITAN WAY
      MOUNT VERNON, IL 62864
    • SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA
      400 NORTH PLEASANT AVENUE
      CENTRALIA, IL 62801

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.