Individual provider Active NPI

Peter Jeano Chung, MD

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1104056845
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A121679 Issued in CA
Practice address
266 S Harvard Blvd Ste 340
Los Angeles, CA 90004-4372
Phone
(213) 908-5014
Fax
(877) 778-4959
NPI assigned
Jul 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A121679 CA Primary

Addresses

Primary practice location

266 S Harvard Blvd Ste 340
Los Angeles, CA 90004-4372

Mailing address

266 S Harvard Blvd Ste 340
Los Angeles, CA 90004-4372
Phone (213) 908-5014

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Peter.Chung@direct.MediTouchEHR.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161207001247 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 6709166804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
University of Miami, LM Miller School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

266 S Harvard Blvd
Suite 340
Los Angeles, CA 90004-4373
Phone (213) 908-5014

Hospital & facility affiliations

  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471
  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A121679CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peter J. Chung, M.D. Inc. Cardiovascular Disease CurrentSince Sep 12, 2016 Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients

Locations

266 S Harvard Blvd
Ste 340
Los Angeles, CA 90004
Phone (213) 908-5014

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: peter.chung@direct.meditouchehr.com
  • Direct secure messaging: peter.chung@pjcmi-ca.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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 2

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": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1104056845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 S HARVARD BLVD STE 340",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044372",
            "telephone_number": "213-908-5014",
            "fax_number": "877-778-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 S HARVARD BLVD STE 340",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044372",
            "telephone_number": "213-908-5014",
            "fax_number": "877-778-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "PETER",
        "middle_name": "JEANO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A121679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Peter.Chung@direct.MediTouchEHR.com",
            "affiliation": "N",
            "address_1": "266 S Harvard Blvd Ste 340",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900044372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.