DR. CAROLINE LIM FONG (M.D.) – Diagnostic Radiology Physician, NPI 1417175233

DR. CAROLINE LIM FONG (M.D.) is a healthcare provider. based in Alhambra, California. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. A94172 (CA). The NPI Number for DR. CAROLINE LIM FONG (M.D.) is 1417175233

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAROLINE LIM FONG (M.D.)
NPI
1417175233
Phone
(626) 340-9887
Address
804 E ROSS AVE
Enumeration Date
24 April 2007
Last Update Date
22 December 2021

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8187192000
Graduation Year
2004 (22 years ago)
PAC ID
1850583493
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20101014000361
Address ID
CA913676701WO5601XAVEX400

Contacts

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

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

4,800 DIAGNOSTIC RADIOLOGY in CA

Provider Addresses for DR. CAROLINE LIM FONG (M.D.)

  • 804 E ROSS AVE

    ALHAMBRA, CA 918015517

    Phone: (626) 340-9887

    Type: Mailing

  • 1505 N EDGEMONT ST

    BASEMENT - DIAGNOSTIC IMAGING

    LOS ANGELES, CA 900275209

    Phone: (323) 783-5791

    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: 2010-10-14

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101014000361IInterventional RadiologyCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view2421$0
70450Ct scan head or brain without contrast1212$0
View full utilization report →

Insurance plans in this area (ZIP 91801)

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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: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

What is the standard ID for DR. CAROLINE LIM FONG (M.D.) in the U.S.?
In the U.S., DR. CAROLINE LIM FONG (M.D.) is identified by NPI 1417175233.
Is DR. CAROLINE LIM FONG (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. CAROLINE LIM FONG (M.D.) as active.
What type of care does DR. CAROLINE LIM FONG (M.D.) provide?
DR. CAROLINE LIM FONG (M.D.)'s profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. CAROLINE LIM FONG (M.D.)?
The directory associates DR. CAROLINE LIM FONG (M.D.) with Alhambra, California. Check all listed addresses for suites or satellite offices.
Can I export DR. CAROLINE LIM FONG (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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