CARRIE RUBY WONG (M.D.) – Gastroenterology Physician, NPI 1801214440

CARRIE RUBY WONG (M.D.) is a healthcare provider. based in New haven, Connecticut. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A150513 (CA). The NPI Number for CARRIE RUBY WONG (M.D.) is 1801214440

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
CARRIE RUBY WONG (M.D.)
NPI
1801214440
Phone
(203) 688-8300
Address
20 YORK STREET
Enumeration Date
1 April 2014
Last Update Date
13 May 2022

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
3104582381
Graduation Year
2014 (12 years ago)
PAC ID
0941513097
Group Practice PAC ID
1355248584
Professional Enrollment ID
I20220509002094
Address ID
CA904042139SA2020XBLVD401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

401 GASTROENTEROLOGY in CT

Provider Addresses for CARRIE RUBY WONG (M.D.)

  • 20 YORK STREET

    YALE-NEW HAVEN HOSPITAL

    NEW HAVEN, CT 065103202

    Phone: (203) 688-8300

    Type: Mailing

  • 950 CAMPBELL AVENUE, 11ACSL1

    VA CONNECTICUT HEALTHCARE SYSTEM

    WEST HAVEN, CT 06516

    Phone: (203) 688-8300

    Type: Location

  • 100 UCLA MEDICAL PLZ STE 205

    LOS ANGELES, CA 900246999

    Phone: (310) 208-5400

    Fax: (310) 208-3788

    Type: Location

  • 5767 W CENTURY BLVD SUITE 400

    LOS ANGELES, CA 900955631

    Phone: (310) 301-8707

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $1,067.

Total Amount is formed as General ($1,067) + Research ($0) + Ownership ($0) = $1,067.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Madrigal Pharmaceuticals ($375).

Total Amount

$1,067

General + Research + Ownership

Payments

10

Total payment records

General Amount

$1,067

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-05-09

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
I20220509002094IGastroenterologyCATBD

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 06510)

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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: 1355248584View full group profile
NameSpecialtyState
Internal Medicine, HospitalistCA
Family PracticeCA
-CA
-CA
-CA
Emergency Medicine, Family PracticeCA
Medical Oncology, Hematology/OncologyCA
Hospitalist, Internal MedicineMA
A L L E R G Y/ I M M U N O L O G YCA
Hospitalist, Internal MedicineCA

Reviews

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Frequently asked questions

Is CARRIE RUBY WONG (M.D.) listed with a National Provider Identifier?
Yes — CARRIE RUBY WONG (M.D.) has NPI 1801214440 on file in the registry.
Is CARRIE RUBY WONG (M.D.) still an active registrant?
CARRIE RUBY WONG (M.D.) carries an active NPI according to the public dataset.
How would a patient describe CARRIE RUBY WONG (M.D.)'s focus?
For CARRIE RUBY WONG (M.D.), the primary taxonomy reads as Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CARRIE RUBY WONG (M.D.)?
Travel planning: use New Haven, Connecticut as the reference point for CARRIE RUBY WONG (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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