GRAND FU KWOK WONG (MD) – Family Medicine Physician, NPI 1730175340

GRAND FU KWOK WONG (MD) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 2004020460 (MO). The NPI Number for GRAND FU KWOK WONG (MD) is 1730175340

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
GRAND FU KWOK WONG (MD)
NPI
1730175340
Phone
(405) 844-4300
Address
5300 N INDEPENDENCE AVE
Enumeration Date
20 September 2005
Last Update Date
14 July 2017

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4058444300
Graduation Year
2007 (19 years ago)
PAC ID
1052560430
Group Practice PAC ID
2365408465
Professional Enrollment ID
I20120928000057
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for GRAND FU KWOK WONG (MD)

  • 5300, North Independence Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States

    SUITE 280

    OKLAHOMA CITY, OK 731125556

    Phone: (405) 844-4300

    Fax: (405) 844-4333

    Type: Mailing

  • 1700 RENAISSANCE BLVD

    EDMOND, OK 730133022

    Phone: (405) 844-4300

    Fax: (405) 844-4333

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-07-01 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$16
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: 2012-09-28

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
I20120928000057IFamily PracticeOKTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4728$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1818$0
View full utilization report →

Insurance plans in this area (ZIP 73112)

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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: 2365408465View full group profile
NameSpecialtyState
P S Y C H I A T R YOK
-OK
Physician AssistantOK
Orthopedic SurgeryOK
-OK
Family Practice, General Surgery, Osteopathic Manipulative MedicineOK
-OK
H O S P I T A L I S TOK
H E M A T O L O G Y/ O N C O L O G YOK
-OK

Reviews

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Frequently asked questions

Can I use this page to confirm GRAND FU KWOK WONG (MD)'s NPI?
Yes. GRAND FU KWOK WONG (MD) is listed with NPI 1730175340 in the public NPI dataset.
Can I rely on GRAND FU KWOK WONG (MD) being an active provider?
As of the registry snapshot, GRAND FU KWOK WONG (MD) is marked active.
What is GRAND FU KWOK WONG (MD) best known for clinically?
Directory data describes GRAND FU KWOK WONG (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does GRAND FU KWOK WONG (MD) list a practice location?
Patients near Oklahoma City, Oklahoma may find GRAND FU KWOK WONG (MD) in results; validate coverage separately.
Is the information about GRAND FU KWOK WONG (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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