Active NPI
Andy Tuan Anh Chung, MD
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Corsicana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- N2033
- Practice address
- 400 Hospital Dr Ste 100
Corsicana, TX 75110-2489 - Phone
- (903) 641-4270
- Fax
- (903) 875-1515
- NPI assigned
- Jul 17, 2006
- Last updated
- Sep 8, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 2004034263 | MO | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | N2033 | TX | Primary |
Addresses
Primary practice location
400 Hospital Dr Ste 100
Corsicana, TX 75110-2489
Mailing address
PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7385
Other practice location 1
7777 Forest Ln.
Suite B432
Dallas, TX 75230-2576
Phone (972) 566-8300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017257 | Other | CO | KAISER COMMERCIAL |
| 76480330 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Loma Linda University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Hospital Dr
Suite 100
Corsicana, TX 75110-2489
Phone (903) 654-4565
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.18 of 100
- Quality
- 71.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004034263 | MO | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
| N2033 | TX | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Current | Accepting new patients |
Locations
3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800
400 Hospital Dr
Ste 100
Corsicana, TX 75110
Phone (903) 641-3830
Interoperability endpoints
- andy.chung.1@1902.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1649232984
-
- Internal Medicine Physician
- College Station, TX
- NPI 1053373951
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1073575585
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Navarro Regional Hospital
- General Acute Care Hospital
- Corsicana, TX
- NPI 1144274226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1164449666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 689022",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370689022",
"telephone_number": "615-465-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HOSPITAL DR STE 100",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751102489",
"telephone_number": "903-641-4270",
"fax_number": "903-875-1515"
}
],
"practiceLocations": [
{
"address_1": "7777 Forest Ln.",
"address_2": "Suite B432",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752302576",
"country_code": "US",
"telephone_number": "972-566-8300",
"fax_number": "972-566-8004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUNG",
"first_name": "ANDY",
"middle_name": "TUAN ANH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "MO",
"license": "2004034263",
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "TX",
"license": "N2033",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER COMMERCIAL",
"identifier": "017257",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "76480330",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corsicana, TX
- Homero Javier Chapa, M.D.
- Chest Diagnostic Therapeutic SVCS & Transit Nursing of TX, Inc (Chest Diagnostic Therapeutic Services, Inc)
- Christy Michelle Childers, LVN
- Eunice Salamitao Chin
- Joey Wayne Choate, PTA
- City of Corsicana (Corsicana Fire Department)
- Laura Ann Clagett, DPT
- Mark Coates, PT, DPT
- Coker Rehabilitation Services, Inc
- John David Coker, MPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.