MR. WILSON SHEN WONG (MD) – Diagnostic Radiology Physician, NPI 1255302097
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. WILSON SHEN WONG (MD)
612 W Duarte Rd
Ste 101
Arcadia, CA 910079220
Phone: (626) 445-4850
Fax: (626) 445-0482
Type: Location
Corvallis Post Office, Southwest Jefferson Avenue, Corvallis, Benton County, Oregon, 97331, United States
CORVALLIS, OR 973391047
Phone: (626) 898-8610
Fax: (626) 445-0482
Type: Mailing
300, West Huntington Drive, Arcadia, Los Angeles County, California, 91007, United States
ARCADIA, CA 91007
Phone: (626) 898-8610
Type: Location
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: 2011-01-14
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 |
|---|---|---|---|---|
| I20110114000904 | I | Diagnostic Radiology | CA | 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 91007)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | CA | 71010 | X-ray of chest, 1 view, front | 42 | 41 |
| DIAGNOSTIC RADIOLOGY | CA | 71250 | CT scan chest | 27 | 27 |
| DIAGNOSTIC RADIOLOGY | CA | 73562 | X-ray of knee, 3 views | 20 | 19 |
| DIAGNOSTIC RADIOLOGY | CA | 73630 | X-ray of foot, minimum of 3 views | 27 | 24 |
| DIAGNOSTIC RADIOLOGY | CA | 74177 | CT scan of abdomen and pelvis with contrast | 47 | 47 |
| DIAGNOSTIC RADIOLOGY | CA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | CA | |
| - | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | HI | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology, Interventional Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | MN |
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