DR. EDMUND H WONG (M.D) – Nuclear Radiology Physician, NPI 1336352335

DR. EDMUND H WONG (M.D) is a healthcare provider. based in Tacoma, Washington. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D. They hold a License No. MD60246359 (WA). The NPI Number for DR. EDMUND H WONG (M.D) is 1336352335

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDMUND H WONG (M.D)
NPI
1336352335
Phone
(253) 680-3555
Address
1304 FAWCETT AVE
Enumeration Date
7 May 2007
Last Update Date
11 November 2013

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
8056447300
Graduation Year
2004 (22 years ago)
PAC ID
6800063041
Group Practice PAC ID
3476466376
Professional Enrollment ID
I20140701000689
Address ID
CA930038087VE4516XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,262 DIAGNOSTIC RADIOLOGY in WA

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Provider Addresses for DR. EDMUND H WONG (M.D)

  • 1304, Fawcett Avenue, New Tacoma, Tacoma, Pierce County, Washington, 98402, United States

    SUITE 200

    TACOMA, WA 984021911

    Phone: (253) 680-3555

    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)

CMS reports 8 Open Payments records for all available years, with a total value of $254.

Total Amount is formed as General ($254) + Research ($0) + Ownership ($0) = $254.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Progenics Pharmaceuticals, Inc. ($214).

Total Amount

$254

General + Research + Ownership

Payments

8

Total payment records

General Amount

$254

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2014-07-01

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
I20140701000689IDiagnostic RadiologyCATBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml25,645212$0
A9585Injection, gadobutrol, 0.1 ml6,73163$0
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries285228$0
78815Nuclear medicine study from skull base to mid-thigh with ct scan269214$0
77080Dxa bone density measurement of hip, pelvis, spine268268$0
View full utilization report →

Insurance plans in this area (ZIP 98402)

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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: 3476466376View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
-CA
Diagnostic RadiologyCA
Diagnostic RadiologyTX
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA

Reviews

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Frequently asked questions

Is there an official ID for DR. EDMUND H WONG (M.D) in U.S. healthcare records?
The official identifier for DR. EDMUND H WONG (M.D) is NPI 1336352335.
Would DR. EDMUND H WONG (M.D) appear as active to a payer?
You can treat DR. EDMUND H WONG (M.D) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. EDMUND H WONG (M.D)'s focus?
For DR. EDMUND H WONG (M.D), the primary taxonomy reads as Nuclear Radiology Physician. Clinical services aligned with this taxonomy classification.
Where in Washington is DR. EDMUND H WONG (M.D) registered?
Use Tacoma, Washington as the headline location for DR. EDMUND H WONG (M.D) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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