Individual provider Active NPI

Michael S Chung, M.D.

  • Diagnostic Radiology Physician
  • Roanoke, VA
National Provider Identifier
1093030546
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101277712 Issued in VA
Practice address
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone
(540) 981-7083
NPI assigned
Mar 27, 2010
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0079100 MD
Diagnostic Radiology Physician 2085R0202X 0101277712 VA Primary

Addresses

Primary practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5352

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mchung636431@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA, UT, DC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160520001503 NY Practitioner - Diagnostic Radiology 5597071712 Reassigns benefits to 10 organizations
I20230208000495 VA Practitioner - Diagnostic Radiology 5597071712 Reassigns benefits to 4 organizations
I20230421000934 UT Practitioner - Diagnostic Radiology 5597071712 Reassigns benefits to 1 organization
I20231220003045 DC Practitioner - Diagnostic Radiology 5597071712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Utah Adult ServicesGroup PAC ID 0941525273, 1,758 clinicians
Fpa Hospital BasedGroup PAC ID 4789826694, 423 clinicians
Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians
Northern Virginia Radiology Consultants, PLLCGroup PAC ID 8426117458, 27 clinicians

Practice addresses (Care Compare)

Brooklyn, NY 11201
Phone (801) 581-2121

1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 731-7822

10 Union SQ E
New York, NY 10003-3314
Phone (212) 241-8395

100 TH St and Madison Ave
New York, NY 10029-6503
Phone (212) 241-6500

1000 10TH Ave
New York, NY 10019-1147
Phone (212) 241-6426

1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 241-6426

1176 5TH Ave
New York, NY 10029-6503
Phone (212) 241-8395

1470 Madison Ave
New York, NY 10029-6542
Phone (212) 241-8426

150 Joralemon St
Apt 5B
Brooklyn, NY 11201-4394
Phone (540) 224-5516

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (517) 481-2442

2510 30TH Ave
Long Island City, NY 11102-2448
Phone (718) 267-4390

2520 30TH Ave
Long Island City, NY 11102-2448
Phone (718) 267-4230

3131 Kings Hwy
FL 1
Brooklyn, NY 11234-2644
Phone (718) 951-2930

3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone (718) 252-3000

325 W 15TH St
New York, NY 10011-5903
Phone (212) 604-6009

3712 82ND St
Jackson Heights, NY 11372-7028
Phone (718) 879-1600

3712 82ND St
FL 2
Jackson Heights, NY 11372-7032
Phone (718) 879-1600

5 E 98TH St
New York, NY 10029-6501

50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 213-2995

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0079100MDMDDiagnostic Radiology Physician
0101277712VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Feb 26, 2023 Accepting new patients
University of Utah Adult Services Current Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Oct 1, 2016 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Feb 26, 2023 Accepting new patients
Carilion Giles Community Hospital CurrentSince Feb 26, 2023 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Diagnostic Radiology Current Accepting new patients
Carilion Tazewell Community Hospital CurrentSince Feb 26, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 1, 2016 Accepting new patients
University of Utah Adult Services CurrentSince Apr 1, 2023 Accepting new patients
The New York Proton Center CurrentSince Oct 1, 2020 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Carilion Giles Community Hospital CurrentSince Feb 26, 2023 Accepting new patients
Carilion Medical Center CurrentSince Feb 26, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 1, 2016 Accepting new patients
Fpa Hospital Based CurrentSince Apr 1, 2016 Accepting new patients
Northern Virginia Radiology Consultants, PLLC Diagnostic Radiology CurrentSince Oct 18, 2023 Accepting new patients
Fpa Hospital Based Diagnostic Radiology CurrentSince Apr 1, 2016 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Diagnostic Radiology CurrentSince Oct 1, 2016 Accepting new patients

Locations

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 544-3400

120 New York Ave
Huntington, NY 11743
Phone (631) 351-3766

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

3712 82nd St
Ste 2
Jackson Heights, NY 11372
Phone (718) 879-1600

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

225 E 126th St
New York, NY 10035
Phone (646) 813-1880

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

341 Central Park Ave
Scarsdale, NY 10583
Phone (718) 676-5309

1086 N Broadway
Yonkers, NY 10701
Phone (914) 771-9666

127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

388 Ben Bolt Ave
Tazewell, VA 24651
Phone (276) 988-2506

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mchung636431@direct.med.utah.edu

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 11

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": "1269648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1093030546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "540-981-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-27",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0079100",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101277712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mchung636431@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.