SAMANTHA WONG (MD) – Student in an Organized Health Care Education/Training Program, NPI 1306007323

SAMANTHA WONG (MD) is a healthcare provider. based in Ann arbor, Michigan. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. The NPI Number for SAMANTHA WONG (MD) is 1306007323

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA WONG (MD)
NPI
1306007323
Phone
(734) 936-4280
Address
1500 E MEDICAL CENTER DR
Enumeration Date
23 June 2008
Last Update Date
23 June 2008

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
5105371234
Graduation Year
2008 (18 years ago)
PAC ID
9133378987
Group Practice PAC ID
4688642028
Professional Enrollment ID
I20121011000291
Address ID
CA945465305CA20103RDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:17State licenses:0Digital endpointsOther names

1,716 ANESTHESIOLOGY in MI

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Provider Addresses for SAMANTHA WONG (MD)

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    ANN ARBOR, MI 481095000

    Phone: (734) 936-4280

    Fax: (734) 936-9091

    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)

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: 2012-10-11

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
I20121011000291IAnesthesiologyCATBD

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
00142Anesthesia for lens surgery4646$0
View full utilization report →

Insurance plans in this area (ZIP 48109)

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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: 4688642028View 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
A N E S T H E S I O L O G YSC
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 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 YMI
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

What number should I use to identify SAMANTHA WONG (MD) for billing?
Administrative and clinical systems typically use NPI 1306007323 for SAMANTHA WONG (MD).
Is SAMANTHA WONG (MD) currently accepting referrals based on NPI status?
Registry metadata lists SAMANTHA WONG (MD) as active.
What type of care does SAMANTHA WONG (MD) provide?
SAMANTHA WONG (MD)'s profile centers on Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Is SAMANTHA WONG (MD) tied to Ann Arbor, Michigan?
If you are local to Ann Arbor, Michigan, SAMANTHA WONG (MD) may be relevant to your search.
Can I export SAMANTHA WONG (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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