Richard Tam Chung, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34226 Issued in MO

Practice address

500 NW Vesper St
Blue Springs, MO 64014-2744

Phone

(816) 229-9411

Fax

(816) 229-9411

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MO

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Blue Springs Wellness & Rehabilitation LLC

  • Skilled Nursing Facility
  • Blue Springs, MO
  • NPI 1639998479

  Adp of the SNF

  CMS ownership

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1104981026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640130246",
            "telephone_number": "816-229-9411",
            "fax_number": "816-229-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NW VESPER ST",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142744",
            "telephone_number": "816-229-9411",
            "fax_number": "816-229-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "RICHARD",
        "middle_name": "TAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "34226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS",
            "identifier": "025461",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "111077615",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "02067022",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200179109",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarika Chowdhry, MD
• Nikki Jo Christian, D.D.S.
• Wesley Lynn Christian, DDS
• Christopher Drake DDS My Kids Dentist and Orthodontics, PC
• Chrysalis Growth Counseling
• Rosa Faye Ciocca, PLPC
• City of Blue Springs
• Tara A Clark, D.O.
• Toshalene Clark, FNP
• Clayton Schwinke, DDS, LLC

• Internal Medicine Physician in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.