Andrew Chung MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K3134 Issued in TX

Legal business name

ANDREW CHUNG MD PLLC

Practice address

3600 Gaston Ave
Suite 755
Dallas, TX 75246-1800

Phone

(214) 823-4200

Fax

(214) 823-4206

NPI assigned

Jan 12, 2010

Organization subpart

No

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

Authorized official

Name

Andrew D Chung, MDNPI 1962500413

Title

Owner

Phone

(214) 823-4200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JDADBA

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew D Chung, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1962500413
  Medicare reassignment Care Compare group NPD Authorized official
• Kathryn Calhoun Cornelius, MD

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1255710679

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Nicholas Stephen Dressel

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1285110494
  Medicare reassignment Care Compare group NPD
• Catherine Provenzale Braun, PA-C

  • Physician Assistant
  • Dallas, TX
  • NPI 1841597077
  Medicare reassignment Care Compare group
• Tam Kang, PA-C

  • Physician Assistant
  • Dallas, TX
  • NPI 1407250442
  Medicare reassignment Care Compare group
• Nupur Kulkarni

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1730910738
  NPD
• Lisa D Garrett, PA-C

  • Physician Assistant
  • Garland, TX
  • NPI 1194731463
  NPD (past)
• Marissa Brianne Quehl, PA

  • Physician Assistant
  • Rockwall, TX
  • NPI 1093466310
  NPD (past)

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1073843181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "STE 755",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-823-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 755",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-823-4200",
            "fax_number": "214-823-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW CHUNG MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-823-4200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280440301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael T. Andrepont-Aycock, CRNA, PMHNP-C
• Jeffry Andresen, M.D.
• Andrew B Burke DO Associated (Andrew B. Burke, D.O., P.A.)
• Andrew B. Freeman, M.D., P.a.
• Andrew Cha Detistry
• Andrew Garrett, D.C.
• Andrew Gottesman, M.D., P.a.
• Andrew W Randall DDS & Assoicates, PC
• Christopher Andrew, AGACNP-BC
• Kristi Andrew, RPH

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.