Individual provider Active NPI

Bow Young Chung, M.D.

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Chicago, IL
National Provider Identifier
1073809570
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
036.135694 Issued in IL
Practice address
5841 S Maryland Ave # Mc1052
Univ of Chicago Medical Center, Dept of Gme RM J141
Chicago, IL 60637
Phone
(773) 702-1234
NPI assigned
Jun 22, 2011
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 125.059323 IL
Advanced Heart Failure and Transplant Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0001X 036.135694 IL Primary

Addresses

Primary practice location

5841 S Maryland Ave # Mc1052
Univ of Chicago Medical Center, Dept of Gme RM J141
Chicago, IL 60637

Mailing address

5841 S Maryland Ave # Mc2016
Chicago, IL 60637-1443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181024000321 IL Practitioner - Advanced Heart Failure and Transplant Cardiology 5799080487 Reassigns benefits to 3 organizations
I20190131000533 IN Practitioner - Advanced Heart Failure and Transplant Cardiology 5799080487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Advanced Heart Failure and Transplant Cardiology
Education
Jefferson Medical College of Thomas Jefferson University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of ChicagoGroup PAC ID 7719899426, shared by 2 NPIs, 1,674 clinicians
The University of Chicago Medical CenterGroup PAC ID 7618880766, 907 clinicians

Practice addresses (Care Compare)

47 W Polk St
Suite G1
Chicago, IL 60605-2083
Phone (773) 702-1000

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1000

901 Macarthur Blvd
Munster, IN 46321-2959
Phone (219) 836-4520

Hospital & facility affiliations

  • The University of Chicago Medical Center Hospital, Chicago, IL, CCN 140088
  • Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191
  • St Johns Hospital Hospital, Springfield, IL, CCN 140053
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • Uchicago Medicine Northwest Indiana Hospital, Crown Point, IN, CCN 150195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.135694ILMDAdvanced Heart Failure and Transplant Cardiology Physician
125.059323ILMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center Single Specialty CurrentSince Sep 10, 2018 Accepting new patients
University of Chicago Single Specialty CurrentSince Aug 25, 2023 Accepting new patients
University of Chicago Single Specialty CurrentSince Sep 10, 2018 Accepting new patients
The University of Chicago Medical Center CurrentSince Sep 10, 2018 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

47 W Polk St
Ste G1
Chicago, IL 60605
Phone (312) 567-6700

19550 Governors Hwy
Flossmoor, IL 60422
Phone (708) 799-8400

17805 Halsted St
Homewood, IL 60430
Phone (708) 333-2300

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

619 E Mason St
Ste 1
Springfield, IL 62701
Phone (773) 702-9461

10855 Virginia St
Ste 1700
Crown Point, IN 46307

10855 Virginia St
Ste 2200
Crown Point, IN 46307
Phone (219) 407-5540

10855 Virginia St
Ste 1600
Crown Point, IN 46307

10855 Virginia St
Ste 1200
Crown Point, IN 46307
Phone (219) 407-5500

10855 Virginia St
Ste 2700
Crown Point, IN 46307

10855 Virginia St
Ste 1100
Crown Point, IN 46307
Phone (219) 407-5540

10855 Virginia St
Ste 2400
Crown Point, IN 46307

10855 Virginia St
Ste 2800
Crown Point, IN 46307

10855 Virginia St
Ste 2100
Crown Point, IN 46307
Phone (219) 407-5540

1500 S Lake Park Ave
Ste 109
Hobart, IN 46342
Phone (219) 942-0551

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

Interoperability endpoints

  • Direct secure messaging: bchungmd39118@uchospital.direct-ci.com

Organizations & group practices 4

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 5

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1073809570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE # MC2016",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE # MC1052",
            "address_2": "UNIV OF CHICAGO MEDICAL CENTER, DEPT OF GME RM J141",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60637",
            "telephone_number": "773-702-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "BOW",
        "middle_name": "YOUNG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "125.059323",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "IL",
            "license": "036.135694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.