DR. CALVIN W WONG (MD) – Anesthesiology Physician, NPI 1124605043

DR. CALVIN W WONG (MD) is a healthcare provider. based in Oak lawn, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 036166618 (IL). The NPI Number for DR. CALVIN W WONG (MD) is 1124605043

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. CALVIN W WONG (MD)
NPI
1124605043
Phone
(708) 684-8000
Address
4440 W 95th St
Enumeration Date
26 March 2021
Last Update Date
31 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
8188810800
Graduation Year
2021 (5 years ago)
PAC ID
0749685030
Group Practice PAC ID
3577465368
Professional Enrollment ID
I20250815000916
Address ID
CA913563501TA18321STXX300

Contacts

FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness95
Years active:5State licenses:2Other names

2,633 ANESTHESIOLOGY in IL

Provider Addresses for DR. CALVIN W WONG (MD)

  • 4440 W 95th St

    Oak Lawn, IL 604532600

    Phone: (708) 684-8000

    Type: Location

  • 1740 W TAYLOR ST

    CHICAGO, IL 606127232

    Phone: (866) 600-2273

    Type: Mailing

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: 2025-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250603003661IAnesthesiologyILTBD
I20250815000916IAnesthesiologyCATBD

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 60453)

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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: 3577465368View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
Anesthesiology, Pain ManagementCA
A N E S T H E S I O L O G YCA
-CA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

What NPI should I save for DR. CALVIN W WONG (MD)?
Save NPI 1124605043 if you need a stable reference for DR. CALVIN W WONG (MD).
Is DR. CALVIN W WONG (MD)'s NPI currently valid?
The extract we use shows DR. CALVIN W WONG (MD) as active.
What field does DR. CALVIN W WONG (MD) work in?
You can think of DR. CALVIN W WONG (MD) as practicing within Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does DR. CALVIN W WONG (MD) practice in Illinois?
You will see Oak Lawn, Illinois on file for DR. CALVIN W WONG (MD) alongside any extra practice locations.
Is DR. CALVIN W WONG (MD) a real provider?
This page reflects official NPPES data for NPI 1124605043. Always confirm identity and privileges with the practice and licensing boards.

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