EDWARD FONG (M.D.) – Pediatric Pulmonology Physician, NPI 1124133574
Pediatric Pulmonology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,779 PULMONARY DISEASE in CA
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Provider Addresses for EDWARD FONG (M.D.)
Children's Hospital & Research Center Oakland, 747, 52nd Street, Idora Park, Oakland, Alameda County, California, 94609, United States
SUITE 5409
OAKLAND, CA 946091809
Phone: (510) 428-3305
Fax: (510) 597-7154
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)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Baxter Healthcare ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $23 |
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: 2016-12-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161229000867 | I | Pulmonary Disease | HI | TBD |
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.
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 94609)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | HI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | HI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | HI | |
| Diagnostic Radiology | HI | |
| P S Y C H I A T R Y | HI | |
| Critical Care (Intensivists) | RI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | HI | |
| Hospitalist, Pediatric Medicine | HI | |
| Nurse Practitioner | HI | |
| Diagnostic Radiology | HI |
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