DR. BONNIE GONG (MD) – Obstetrics & Gynecology Physician, NPI 1447251970

DR. BONNIE GONG (MD) is a healthcare provider. based in Kirkland, Washington. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. MD00037065 (WA). The NPI Number for DR. BONNIE GONG (MD) is 1447251970

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. BONNIE GONG (MD)
NPI
1447251970
Phone
(425) 899-4455
Address
12910 TOTEM LAKE BLVD NE
Enumeration Date
9 August 2005
Last Update Date
25 March 2014

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
4258994455
Graduation Year
1986 (40 years ago)
PAC ID
4981596376
Group Practice PAC ID
7911212824
Professional Enrollment ID
I20040329001531
Address ID
WA980342901KI12910NEXX503
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

1,037 OBSTETRICS/GYNECOLOGY in WA

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Provider Addresses for DR. BONNIE GONG (MD)

  • SmarTek 21, 12910, Totem Lake Boulevard Northeast, Kirkland, King County, Washington, 98034, United States

    SUITE 102

    KIRKLAND, WA 980342954

    Phone: (425) 899-4455

    Fax: (425) 899-4434

    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: 2004-03-29

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
I20040329001531IObstetrics/GynecologyWATBD

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 98034)

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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: 7911212824View full group profile
NameSpecialtyState
Nurse PractitionerWA
O B S T E T R I C S/ G Y N E C O L O G YNY
-WA
O B S T E T R I C S/ G Y N E C O L O G YWA
Nurse PractitionerWA
O B S T E T R I C S/ G Y N E C O L O G YWA
O B S T E T R I C S/ G Y N E C O L O G YWA
O B S T E T R I C S/ G Y N E C O L O G YWA
O B S T E T R I C S/ G Y N E C O L O G YWA
-WA

Reviews

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Frequently asked questions

Is DR. BONNIE GONG (MD) listed with a National Provider Identifier?
Yes — DR. BONNIE GONG (MD) has NPI 1447251970 on file in the registry.
Is there an active status for DR. BONNIE GONG (MD)?
For scheduling context, DR. BONNIE GONG (MD) is shown as active in the registry.
What kind of doctor is DR. BONNIE GONG (MD)?
DR. BONNIE GONG (MD) is associated with Obstetrics & Gynecology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. BONNIE GONG (MD)?
Travel planning: use Kirkland, Washington as the reference point for DR. BONNIE GONG (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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