Individual provider Active NPI

Christopher Ryan Fung, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bryn Mawr, PA
National Provider Identifier
1053806232
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006917 Issued in PA
Practice address
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Phone
(484) 337-3000
NPI assigned
Jun 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006917 PA Primary

Addresses

Primary practice location

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121

Mailing address

1000 Conestoga Rd Apt A102
Bryn Mawr, PA 19010-1530
Phone (714) 651-5242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230515001013 PA Practitioner - Podiatry 3779949912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Foot and Ankle Specialists of PA LLCGroup PAC ID 1153704754, 26 clinicians

Practice addresses (Care Compare)

123 Chestnut St
Suite 208
Philadelphia, PA 19106-3059
Phone (215) 923-2455

Hospital & facility affiliations

  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue34
Removal of skin lesions22
Removal of nail tissue1376
Removal or shaving of skin growth461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006917PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Foot & Ankle Surgery PC Foot & Ankle Surgery Current Accepting new patients
Integrated Foot and Ankle Specialists of PA LLC CurrentSince Mar 1, 2023 Accepting new patients
Integrated Foot and Ankle Specialists of PA LLC Foot & Ankle Surgery CurrentSince Mar 1, 2023 Accepting new patients

Locations

471 Pequea Ave
Honey Brook, PA 19344
Phone (610) 269-0800

123 Chestnut St
Ste 201
Philadelphia, PA 19106
Phone (215) 923-2455

410 W Linfield Trappe Rd
Ste 120
Royersford, PA 19468
Phone (610) 495-2040

520 Maple Ave
Ste 3
West Chester, PA 19380
Phone (484) 364-2824

1011 W Baltimore Pike
Ste 204
West Grove, PA 19390
Phone (610) 269-0800

50 Berkshire Ct
Ste 1
Wyomissing, PA 19610
Phone (610) 373-4154

Interoperability endpoints

  • Direct secure messaging: christopherfung@cfas.allscriptsdirect.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1053806232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CONESTOGA RD APT A102",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101530",
            "telephone_number": "714-651-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S BRYN MAWR AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103121",
            "telephone_number": "484-337-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.