Individual provider Active NPI

Jerry Chung, M.D

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1184822231
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME101742 Issued in FL
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X A98189 CA
Diagnostic Radiology Physician 2085R0202X ME101742 FL Primary

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1100

Other practice location 1

200 W Arbor Dr
San Diego, CA 92103-9001
Phone (619) 543-1849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080726000011 FL Practitioner - Diagnostic Radiology 4688747413 Reassigns benefits to 15 organizations
I20250916002657 MT Practitioner - Diagnostic Radiology 4688747413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York Downstate Medical Center, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians
Englewood Radiologic Group P aGroup PAC ID 6901852300, 131 clinicians
Fred Smeltzer MD and Associates IncGroup PAC ID 8921078304, 95 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

St Petersburg, FL 33701
Phone (570) 271-6144

151 7TH St S
Saint Petersburg, FL 33701-4013
Phone (800) 926-8273

151 7TH St S
Unit 660
Saint Petersburg, FL 33701-4077
Phone (952) 595-1100

151 7TH St S
Unit 660
Saint Petersburg, FL 33701-4081
Phone (952) 595-1100

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

5320 Anthony LN
Sarasota, FL 34233-2447
Phone (952) 595-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME101742FLMDDiagnostic Radiology Physician
A98189CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph's Diagnostic Center LLC Diagnostic Radiology CurrentSince Oct 11, 2010 Accepting new patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology CurrentSince Feb 17, 2025 Accepting new patients
Radiology Associates of Clearwater Diagnostic Radiology CurrentSince Jul 14, 2008 Accepting new patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Central Montana Medical Facilities, Inc Current Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Feb 17, 2025 Accepting new patients
Morton Plant Mease Health Services Inc Diagnostic Radiology CurrentSince Jul 14, 2008 Accepting new patients
Fred Smeltzer MD & Associates Inc Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Sidney Health Center CurrentSince Dec 4, 2025 Accepting new patients
Geisinger Clinic CurrentSince Feb 17, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Nov 11, 2024 Accepting new patients
St Joseph's Diagnostic Center LLC Diagnostic Radiology CurrentSince Oct 11, 2010 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Morton Plant Mease Health Services Inc Diagnostic Radiology CurrentSince Jul 14, 2008 Accepting new patients
Englewood Radiologic Group P a Diagnostic Radiology CurrentSince Aug 3, 2025 Accepting new patients
St Josephs Diagnostic Center LLC Diagnostic Radiology Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Nov 11, 2024 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Claremont Imaging Associates, a Medical Corporation Diagnostic Radiology CurrentSince Oct 13, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Dec 31, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Feb 17, 2025 Accepting new patients
Sidney Health Center CurrentSince Dec 4, 2025 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Dec 25, 2024 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Medical Specialist Associates of Florida LLC Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
Ozarks Medical Center Diagnostic Radiology Past Accepting new patients
Premier Radiology, LLP Diagnostic Radiology Past Accepting new patients
Southern Monterey County Memorial Hospital Past Accepting new patients

Locations

9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000

File 57326
Los Angeles, CA 90074

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

1106 Druid Rd S
Ste 302
Clearwater, FL 33756

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

323 Jeffords St
Clearwater, FL 33756
Phone (727) 729-9212

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

3890 Tampa Rd
#H
Palm Harbor, FL 34684
Phone (813) 781-3164

3890 Tampa Rd
Palm Harbor, FL 34684
Phone (813) 781-3164

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

12780 Race Track Rd
Ste 100
Tampa, FL 33626
Phone (813) 749-7810

3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1184822231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921039001",
            "country_code": "US",
            "telephone_number": "619-543-1849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A98189",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME101742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.