Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922730910 Individual Practitioner Female Practitioner

Edilisa Lu Ong

Pediatrics • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Edilisa Ong is a certified Pediatrics practicing in Tyler, TX. With approximately 13 years of clinical experience since completing medical education in 2013, Edilisa Ong delivers high-quality medical care to the local community at 1000 E 5TH ST STE 400.

Edilisa Ong does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1000 E 5th St Ste 400

Tyler, TX 757013362

Telephone 9035905000
Fax 9037474200
Associated Practice Facility / Clinic
🏢 Etmc Physician Group Inc. Facility NPI 1720578941

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Tyler, TX

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -1.3 yrs vs City Avg
City Avg: 14.3 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
55 Specialists

Practicing in Tyler, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ong (13 Years) 13 Yrs
Tyler Specialty Average (14.3 Years) 14.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-02-11
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX V8715

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1134786528

Doctor of Osteopathic Medicine (D.O.)

NPI 1528497955

Doctor of Medicine (M.D.)

Aleia Graham , NP

Nurse Practitioner - Family

NPI 1558922112

Nurse Practitioner

NPI 1730299306

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 06, 2025

Registered at 1000 E 5TH ST STE 400, TYLER, TX 757013362 (Tel: 9035905000)

📍
Updated Business Mailing Address August 06, 2025

Registered at 1000 E 5TH ST STE 400, TYLER, TX 757013362 (Tel: 9035905000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2025

Pediatrics (License #V8715 in TX)

NPI Profile Active June 28, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2022

Registered at 760 BROADWAY, DEPARTMENT OF PEDIATRICS, ROOM 6B23, BROOKLYN, NY 11206 (Tel: 7189637956)

📍
Updated Business Mailing Address June 28, 2022

Registered at 760 BROADWAY, DEPARTMENT OF PEDIATRICS, ROOM 6B23, BROOKLYN, NY 11206 (Tel: 7189637956)

👤
Provider Name / Credentials Updated June 28, 2022

Recorded as EDILISA ONG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 28, 2022

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: 1922730910
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2022
Last Update: February 11, 2026
Sole Proprietor: No

Mailing Address

1000 E 5th St Ste 400

Tyler, TX 757013362

Phone: 9035905000

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.