Individual provider Active NPI

Philip Ta-Huey Chuang, M.D

  • Gastroenterology Physician
  • Flushing, NY
National Provider Identifier
1194136259
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
303499 Issued in NY
Practice address
13347 Sanford Ave Ste 1D
Flushing, NY 11355-5816
Phone
(718) 461-9779
Fax
(718) 461-3454
NPI assigned
May 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 303499 NY Primary

Addresses

Primary practice location

13347 Sanford Ave Ste 1D
Flushing, NY 11355-5816

Mailing address

13347 Sanford Ave Ste 1C
Flushing, NY 11355-5816
Phone (718) 461-9779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20200421001062 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 6709123268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
New York University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Care PLLCGroup PAC ID 5496046864, 4 clinicians

Practice addresses (Care Compare)

13347 Sanford Ave
Suite 1D
Flushing, NY 11355-5816
Phone (718) 461-9779

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy33
Upper gastrointestinal (GI) endoscopy for acid reflux16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Endoscopy PLLC CurrentSince Mar 6, 2020 Accepting new patients
Dong-Hong Shong, M.D., P.C. PastSince May 14, 2024 Accepting new patients

Locations

13347 Sanford Ave
Ste 1C
Flushing, NY 11355
Phone (718) 461-9779

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

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.

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1194136259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13347 SANFORD AVE STE 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555816",
            "telephone_number": "718-461-9779",
            "fax_number": "718-461-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13347 SANFORD AVE STE 1D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555816",
            "telephone_number": "718-461-9779",
            "fax_number": "718-461-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUANG",
        "first_name": "PHILIP",
        "middle_name": "TA-HUEY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-12",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "303499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.