ROBERTA L WONG MD NPI 1053322453

NPI Information

  • NPI: 1053322453
  • Provider Name: ROBERTA L WONG, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1300 CRANE STREET
    MENLO PARK, CA
    ZIP 94025
  • Phone: (650) 498-6500

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NPI Details

Roberta L Wong, MD is a diagnostic radiology radiology in Menlo Park, CA with 36 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Roberta L Wong, MD NPI is 1053322453. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

1300 CRANE STREET
MENLO PARK, CA
ZIP 94025-429
Phone: (650) 498-6500

The NPI 1053322453 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of ribs on side of body, 2 views (HCPCS:71100)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of hip, 1 view (HCPCS:73501)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • X-ray lower and sacral spine, 2-3 views bending views (HCPCS:72120)
  • X-ray of joint between lower spine and hip bone, 3 or more views (HCPCS:72202)
  • X-ray of middle and lower spine, 2 views (HCPCS:72080)

The enumeration date for this NPI number is 8/10/2006 and was last updated on 1/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyG71404CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G714040MEDICARE ID-TYPE UNSPECIFIED
2G16271MEDICARE UPIN
3MMM00087MOTHERNHIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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