NPIMap

Individual provider Active NPI

Hyun Jung Hong, MD

  • Family Medicine Physician
  • Sparks, NV
National Provider Identifier
1083691927
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9830 Issued in NV
Practice address
4834 Sparks Blvd
Suite 100
Sparks, NV 89436-8215
Phone
(775) 356-8100
Fax
(775) 356-8101
NPI assigned
Dec 30, 2005
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9830 NV Primary

Addresses

Primary practice location

4834 Sparks Blvd
Suite 100
Sparks, NV 89436-8215

Mailing address

4834 Sparks Blvd
Suite 100
Sparks, NV 89436-8215
Phone (775) 356-8100

Other identifiers 1

IdentifierTypeStateIssuer
002016868MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vistafam@direct.practicefusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051012001202 NV Practitioner - Family Practice 0345265955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4834 Sparks Blvd
Suite 100
Sparks, NV 89436-8157
Phone (775) 356-8100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9830NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Family Medicine LLC Family Medicine CurrentSince Jun 15, 2010 Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Jones Dermatology Associates PC PastSince Jun 15, 2010 Accepting new patients

Locations

4834 Sparks Blvd
Ste 100
Sparks, NV 89436
Phone (775) 356-8100

Interoperability endpoints

  • Direct secure messaging: vistafam@direct.practicefusion.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1083691927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4834 SPARKS BLVD",
            "address_2": "SUITE 100",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368215",
            "telephone_number": "775-356-8100",
            "fax_number": "775-356-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4834 SPARKS BLVD",
            "address_2": "SUITE 100",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368215",
            "telephone_number": "775-356-8100",
            "fax_number": "775-356-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "HYUN",
        "middle_name": "JUNG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2021-08-03",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "9830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016868",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vistafam@direct.practicefusion.com",
            "affiliation": "N",
            "address_1": "4834 Sparks Blvd",
            "address_2": "Suite 100",
            "city": "Sparks",
            "state": "NV",
            "country_code": "US",
            "postal_code": "894368215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.