Individual provider Active NPI

Andrew Kung, MD

  • Pediatrics Physician
  • Lemoyne, PA
National Provider Identifier
1134588973
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD495080 Issued in PA
Practice address
3 Walnut St Ste 205
Lemoyne, PA 17043-1168
Phone
(717) 988-0090
Fax
(717) 221-5320
NPI assigned
Feb 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD495080 PA Primary

Addresses

Primary practice location

3 Walnut St Ste 205
Lemoyne, PA 17043-1168

Mailing address

300 Tuskegee Blvd
Dover Afb, DE 19902-5003
Phone (302) 730-4633

Other practice location 1

1160 Manheim Pike Ste 202
Lancaster, PA 17601-3127
Phone (717) 988-0090

Other practice location 2

300 Tuskegee Blvd
Dover AFB, DE 19902-5003
Phone (302) 677-2151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230927003472 PA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7719331503

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD495080PAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1134588973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TUSKEGEE BLVD",
            "city": "DOVER AFB",
            "state": "DE",
            "postal_code": "199025003",
            "telephone_number": "302-730-4633",
            "fax_number": "302-677-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WALNUT ST STE 205",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431168",
            "telephone_number": "717-988-0090",
            "fax_number": "717-221-5320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Manheim Pike Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013127",
            "country_code": "US",
            "telephone_number": "717-988-0090",
            "fax_number": "717-221-5320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Tuskegee Blvd",
            "address_purpose": "LOCATION",
            "city": "Dover AFB",
            "state": "DE",
            "postal_code": "199025003",
            "country_code": "US",
            "telephone_number": "302-677-2151",
            "fax_number": "302-677-2006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNG",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-22",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD495080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoyne, PA

Sources for this page

Verify at the official NPI Registry.