Edwin Kyung Chung, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

ME124752 Issued in FL

Practice address

2343 Aaron St
Port Charlotte, FL 33952-5305

Phone

(855) 979-5700

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (9 of 11)

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: edwin.chung.1@4290.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4

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.

• Florida Kidney Physicians, LLC

  • Nephrology Physician
  • Temple Terrace, FL
  • NPI 1760831564

  FL, Single Specialty

  Medicare reassignment Care Compare group NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880

  FL, Single Specialty

  Medicare reassignment Care Compare group NPD
• Hospital Medicine Services of FL, LLC

  • Hospitalist Physician
  • Aventura, FL
  • NPI 1710684857

  FL, Single Specialty

  Medicare reassignment NPD
• Practice of Dr. Edwin Chung

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1972079762

  Single Specialty

  NPD (past) Authorized official
• Millennium Physician Group LLC

  • Community/Retail Pharmacy
  • Port Charlotte, FL
  • NPI 1538509278
  Care Compare group
• Florida Kidney Physicians , LLC

  • Nephrology Physician
  • Melbourne, FL
  • NPI 1205506722

  Single Specialty

  NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1073131702
  NPD
• Advanced Intergrated Medicine Inc

  • Internal Medicine Physician
  • Brandon, FL
  • NPI 1164733861

  Single Specialty

  NPD (past)
• Balbir Singh, MD, Inc.

  • Nephrology Physician
  • Calabasas, CA
  • NPI 1144648007

  Nephrology

  NPD (past)
• Community Hospitalist Medical Group Inc.

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1467437376

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Port Charlotte Inc

  • General Acute Care Hospital
  • Port Charlotte, FL
  • NPI 1760299093

  Hospital

  Care Compare affiliation
• Baycare Home Care, Inc.

  • Home Health Agency
  • Sarasota, FL
  • NPI 1013915149
  Care Compare affiliation
• Fawcett Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Port Charlotte, FL
  • NPI 1417901406

  Hospital

  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • North Venice, FL
  • NPI 1013534445

  Hospital

  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826

  Hospital

  Care Compare affiliation

Specialty

Internal MedicineAlso: Nephrology

Education

State University of Ny Upstate Medical University, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Millennium Physician Group LLC 976 clinicians

Florida Kidney Physicians LLC 167 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sarasota Memorial Homecare Home health agency, Sarasota, FL, CCN 107710
• Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359
• HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236
• Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1104841360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 AARON ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525305",
            "telephone_number": "855-979-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 Nicholas Pkwy NW Ste 1",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339913804",
            "country_code": "US",
            "telephone_number": "239-573-1152",
            "fax_number": "239-573-1360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "EDWIN",
        "middle_name": "KYUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME124752",
            "primary": false
        },
        {
            "code": "207RH0005X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hypertension Specialist",
            "state": "FL",
            "license": "ME124752",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME124752",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME124752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl B. Bradley Chorlton, COTA/L
• Valerie J Chouinard
• Steven D Christesen, MD
• Christopher Contance MD
• Carmelle Chua Sy
• Jae Chung, M.D.
• Casimer James Ciborowski, DDS
• Karisa Lacy Cicchella, PHARMD
• Carmella Rose Cicero, CRNA
• Randy M Cisne, LMHC

• All providers in Port Charlotte, FL
• Hospitalist Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.