BOWEN Y. WONG (MD) – Neurology Physician, NPI 1114986742

BOWEN Y. WONG (MD) is a healthcare provider. based in Oakland, California. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. G058245 (CA). The NPI Number for BOWEN Y. WONG (MD) is 1114986742

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
BOWEN Y. WONG (MD)
NPI
1114986742
Phone
(510) 752-1000
Address
275 W MACARTHUR
Enumeration Date
22 March 2006
Last Update Date
11 February 2022

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
5103071500
Graduation Year
1982 (44 years ago)
PAC ID
1052209830
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20040304001269
Address ID
CA948013143RI901XXAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,479 NEUROLOGY in CA

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Provider Addresses for BOWEN Y. WONG (MD)

  • MacArthur, MacArthur BART Plaza, Mosswood, Oakland, Alameda County, California, 94609, United States

    OAKLAND, CA 946115641

    Phone: (510) 752-1000

    Fax: (510) 752-6854

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040304001269INeurologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94611)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
-MA
Emergency MedicineCA
-CA
Internal MedicineNY

Reviews

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Frequently asked questions

Is BOWEN Y. WONG (MD) listed with a National Provider Identifier?
Yes — BOWEN Y. WONG (MD) has NPI 1114986742 on file in the registry.
Is BOWEN Y. WONG (MD) still an active registrant?
BOWEN Y. WONG (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for BOWEN Y. WONG (MD)?
At a glance, BOWEN Y. WONG (MD) is tied to Neurology Physician. Clinical services aligned with this taxonomy classification.
Is BOWEN Y. WONG (MD) associated with Oakland?
Public fields place BOWEN Y. WONG (MD) around Oakland, California. Always confirm the exact site before visiting.
Can I trust this NPI listing for BOWEN Y. WONG (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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