WONHONG DAVID MIN (MD) – Neurological Surgery Physician, NPI 1053304204

WONHONG DAVID MIN (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. 19641 (OK). The NPI Number for WONHONG DAVID MIN (MD) is 1053304204

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
WONHONG DAVID MIN (MD)
NPI
1053304204
Phone
(801) 261-4988
Address
3838 S 700 E STE 300A
Enumeration Date
23 August 2005
Last Update Date
24 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7014188000
Graduation Year
1994 (32 years ago)
PAC ID
8628005022
Group Practice PAC ID
7911816020
Professional Enrollment ID
I20240627001056
Address ID
ND587017669MI2305XSWXX400

Contacts

Main Contact
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness95
Years active:20State licenses:4Other names

76 NEUROSURGERY in UT

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Provider Addresses for WONHONG DAVID MIN (MD)

  • 300, 700 East, Central City, Salt Lake City, Salt Lake County, Utah, 84102, United States

    SALT LAKE CITY, UT 841061496

    Phone: (801) 261-4988

    Fax: (801) 269-9425

    Type: Mailing

  • 2305 37th Ave SW

    Minot, ND 587017669

    Phone: (701) 418-8000

    Type: Location

  • PO BOX 5010

    MINOT, ND 587025010

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $601.

Total Amount is formed as General ($601) + Research ($0) + Ownership ($0) = $601.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Medtronic, Inc. ($581).

Total Amount

$601

General + Research + Ownership

Payments

7

Total payment records

General Amount

$601

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2024-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20110511000211INeurosurgeryUTTBD
I20220802003575INeurosurgeryWITBD
I20240627001056INeurosurgeryNDTBD

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
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2525$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2213$0
99203New patient office or other outpatient visit, 30-44 minutes1818$0
99213Established patient office or other outpatient visit, 20-29 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 84106)

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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: 7911816020View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)ND
-ND
-ND
Nurse PractitionerND
-ND
O P T O M E T R YND
Nurse PractitionerND
Nurse PractitionerND
-CT
Nurse PractitionerND

Reviews

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Frequently asked questions

Does WONHONG DAVID MIN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — WONHONG DAVID MIN (MD) uses 1053304204.
Is WONHONG DAVID MIN (MD) listed as active for patients and plans?
The listing shows WONHONG DAVID MIN (MD) as active in the NPI system.
What healthcare role does WONHONG DAVID MIN (MD) hold?
Scheduling teams often label WONHONG DAVID MIN (MD) under Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for WONHONG DAVID MIN (MD)?
WONHONG DAVID MIN (MD)'s geographic hint is Salt Lake City, Utah in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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