Deactivated NPI 1093812133 Deactivated / Inactive NPI Male Practitioner

Dr. Kwan H Chong , MD

Surgery • Simi Valley, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kwan Chong has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2006

NPI Deactivation Date October 02, 2024

Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Kwan Chong, MD was a registered Surgery practicing in Simi Valley, CA. Throughout an active medical career spanning 18 years, Dr. Chong provided care at the practice location at 1158 ROADRUNNER WAY until profile deactivation on 2024-10-02.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1158 Roadrunner Way

Simi Valley, CA 930653158

Telephone 8055229018

Fax 9512729924

Associated Practice Facility / Clinic

🏢 Kwanho Chong, M.d., A Medical Corporation Facility NPI 1932400686

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Simi Valley, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

2 Specialists

Practicing in Simi Valley, CA (3346 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	197	79	$222.23	$76.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	113	105	$308.23	$126.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$250.00	$113.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	20	$200.00	$130.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	21	$218.00	$47.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	430	126	$207.72	$82.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	201	177	$263.41	$134.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$250.00	$120.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	41	$200.00	$137.22
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	23	23	$150.00	$18.26
47562 Removal of gallbladder using an endoscope	17	17	$1585.06	$602.19
76937 Ultrasonic guidance for blood vessel access	17	17	$150.00	$14.35
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$1096.15	$341.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	519	138	$200.00	$74.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	216	190	$250.00	$141.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$250.00	$121.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	41	$200.00	$139.61
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	21	20	$150.00	$19.29
76937 Ultrasonic guidance for blood vessel access	20	19	$150.00	$14.34
47562 Removal of gallbladder using an endoscope	18	18	$1500.00	$681.67
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	14	13	$1392.86	$87.31
36800 Insertion of tube connecting vein to vein for hemodialysis	12	12	$1316.67	$121.96
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	12	11	$1087.50	$274.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	438	127	$199.59	$75.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	252	217	$250.00	$142.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$250.00	$123.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	54	$200.00	$142.29
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	41	39	$150.00	$19.57
76937 Ultrasonic guidance for blood vessel access	29	25	$150.00	$14.55
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$150.00	$100.54
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	22	21	$1500.00	$351.95
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	18	17	$1500.00	$88.60
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	18	18	$150.00	$15.12
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	18	18	$1527.78	$748.91
47562 Removal of gallbladder using an endoscope	17	17	$1500.00	$679.13
49650 Repair of groin hernia using an endoscope	11	11	$1500.00	$425.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	452	131	$200.00	$77.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	229	200	$250.00	$146.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$249.45	$118.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	38	$198.89	$119.49
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	39	38	$152.56	$19.82
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$152.63	$82.89
76937 Ultrasonic guidance for blood vessel access	18	18	$155.56	$15.34
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	18	17	$1500.00	$91.03
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	17	16	$1500.00	$282.86
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$1500.00	$365.59
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	14	14	$150.00	$19.25
36800 Insertion of tube connecting vein to vein for hemodialysis	12	11	$1500.00	$131.72
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$1750.00	$741.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	534	129	$200.19	$76.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	240	213	$250.00	$143.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$250.00	$117.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	45	$200.00	$117.98
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	36	33	$251.39	$19.52
47562 Removal of gallbladder using an endoscope	22	22	$1568.18	$663.50
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$1500.00	$337.17
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	15	14	$1500.00	$270.04
76937 Ultrasonic guidance for blood vessel access	14	13	$264.29	$15.14
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	13	13	$250.00	$19.21
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1692.31	$725.86
99291 Critical care, first 30-74 minutes	12	12	$333.33	$230.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	608	174	$200.58	$72.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	270	243	$280.37	$135.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$250.00	$110.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	41	$200.00	$110.84
99291 Critical care, first 30-74 minutes	26	26	$342.31	$218.26
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	25	24	$400.00	$18.42
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	22	22	$397.73	$18.09
99292 Critical care, each additional 30 minutes	22	22	$293.18	$109.35
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	22	22	$2045.45	$708.57
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	17	17	$1558.82	$99.55
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	12	11	$1416.67	$253.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	627	152	$200.24	$71.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	280	235	$300.00	$134.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$241.09	$109.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	32	$200.00	$109.11
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	35	35	$3471.43	$709.32
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	34	34	$500.00	$18.02
99213 Established patient office or other outpatient visit, typically 15 minutes	32	27	$178.13	$74.65
99291 Critical care, first 30-74 minutes	18	18	$341.67	$218.35
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	17	$500.00	$18.70
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	16	15	$1656.25	$118.89
49505 Repair of groin hernia (5 years or older)	15	15	$2500.00	$502.07
99292 Critical care, each additional 30 minutes	12	12	$295.83	$109.34
49568 Placement of mesh to repair incisional or abdominal hernia	11	11	$500.00	$261.81

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA G84968

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners

Dr. Bakhtiar Moussazadeh , MD

Anesthesiology - Pain Medicine

NPI 1043530660

Doctor of Medicine (M.D.)

Dr. Alan Fozailoff , MD

Internal Medicine - Nephrology

NPI 1053331595

Doctor of Medicine (M.D.)

Dr. Patrick Khaziran , DC

Chiropractor

NPI 1144463068

Doctor of Chiropractic

Dr. Rosemary Jadia , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1265553457

Doctor of Podiatric Medicine

Dr. Aelita Khachatrian , MD

Internal Medicine - Rheumatology

NPI 1306137476

Doctor of Medicine (M.D.)

Dr. Samir Parmekar , MD

Hospitalist

NPI 1356367817

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

⚠️

NPI Profile Deactivated October 02, 2024

Record deactivated on October 02, 2024

✅

NPI Profile Active February 27, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 27, 2012

Registered at 1158 ROADRUNNER WAY, SIMI VALLEY, CA 930653158 (Tel: 8055229018)

📍

Updated Business Mailing Address February 27, 2012

Registered at 1158 ROADRUNNER WAY, SIMI VALLEY, CA 930653158 (Tel: 8055229018)

👤

Provider Name / Credentials Updated February 27, 2012

Recorded as KWAN CHONG, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2012

Surgery (License #G84968 in CA)

🟢

Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093812133

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 20, 2006

Last Update: February 27, 2012

Deactivation Date: October 02, 2024

Update or Correct Profile

Mailing Address

1158 Roadrunner Way

Simi Valley, CA 930653158

Phone: 8055229018

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.