Active NPI
Rebecca Clare Tung, MD
- Dermatology Physician
- Davenport, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME138354
- Practice address
- 130 Ridge Center Dr Ste 203
Davenport, FL 33837-6416 - Phone
- (863) 667-6647
- Fax
- (312) 276-8889
- NPI assigned
- May 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | ME138354 | FL | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 036124020 | IL | |
| Dermatology Physician | 207N00000X | 35077947 | OH | |
| Dermatology Physician | 207N00000X | ME138354 | FL | Primary |
| Dermatology Physician | 207N00000X | 036124020 | IL |
Addresses
Primary practice location
130 Ridge Center Dr Ste 203
Davenport, FL 33837-6416
Mailing address
229 W Lake Summit Dr
Winter Haven, FL 33884-1528
Phone (863) 667-6647
Other practice location 1
5825 N Highway 27
Sebring, FL 33870-1216
Phone (813) 321-1786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Northwestern University Feinberg Medical School, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 Ridge Ctr Dr
Suite 203
Davenport, FL 33837-6416
Phone (863) 667-6647
5825 US Hwy 27 N
Sebring, FL 33870-1216
Phone (813) 321-1786
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 91 |
| Removal of skin lesions | 305 |
| Removal of skin cancer | 137 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 257 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME138354 | FL | MD | Dermatology Physician |
| 35077947 | OH | MD | Dermatology Physician |
| 036124020 | IL | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Skin Solutions | Dermatology | Current | Accepting new patients |
| Cypress Crown Dermatology PLLC | Dermatology | Current | Accepting new patients |
| The Cleveland Clinic Foundation | Past | Accepting new patients |
Locations
130 Ridge Center Dr
Ste 203
Davenport, FL 33837
Phone (863) 422-4338
5825 US 27 N
Sebring, FL 33870
Phone (863) 314-0001
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
-
- Dermatology Physician
- Davenport, FL
- NPI 1073409868
-
- Dermatology Physician
- Lutz, FL
- NPI 1487827416
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- General Acute Care Hospital
- Tinley Park, IL
- NPI 1427752013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1174574941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 W LAKE SUMMIT DR",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338841528",
"telephone_number": "863-667-6647",
"fax_number": "312-276-8889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 RIDGE CENTER DR STE 203",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338376416",
"telephone_number": "863-667-6647",
"fax_number": "312-276-8889"
}
],
"practiceLocations": [
{
"address_1": "5825 N Highway 27",
"address_purpose": "LOCATION",
"city": "Sebring",
"state": "FL",
"postal_code": "338701216",
"country_code": "US",
"telephone_number": "813-321-1786",
"fax_number": "813-321-1787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUNG",
"first_name": "REBECCA",
"middle_name": "CLARE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "FL",
"license": "ME138354",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "IL",
"license": "036124020",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OH",
"license": "35077947",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME138354",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "036124020",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.