Individual provider Active NPI

Wing Kin Fung, M.D.

  • Cardiovascular Disease Physician
  • Milton, MA
National Provider Identifier
1205932522
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
223560 Issued in MA
Practice address
100 Highland St
Suite 300
Milton, MA 02186-3881
Phone
(617) 698-8855
Fax
(617) 224-1001
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 223560 MA Primary

Addresses

Primary practice location

100 Highland St
Suite 300
Milton, MA 02186-3881

Mailing address

100 Highland St
Suite 300
Milton, MA 02186-3881
Phone (617) 698-8855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20080501000530 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8123107117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Tufts University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Shore Internal Medicine Associates Inc.Group PAC ID 8820066186, 11 clinicians
Milton Cardiac Testing, P.C.Group PAC ID 1254409352, 6 clinicians

Practice addresses (Care Compare)

100 Highland St
Milton, MA 02186-3881
Phone (617) 698-8855

92 Highland St
Milton, MA 02186-3800
Phone (617) 696-4600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223560MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Milton Cardiac Testing, P.C. Cardiovascular Disease CurrentSince Jul 28, 2008 Accepting new patients
South Shore Internal Medicine Associates Inc. Cardiovascular Disease CurrentSince Feb 26, 2008 Accepting new patients

Locations

100 Highland St
Ste 300
Milton, MA 02186
Phone (617) 698-8855

92 Highland St
Milton, MA 02186
Phone (617) 698-8855

100 Highland St
Milton, MA 02186
Phone (617) 615-4000

10 Little Brook Rd
West Wareham, MA 02576

Interoperability endpoints

  • Direct secure messaging: wfung376881@direct.bilh.masshiway.net
  • Direct secure messaging: wingkin.fung@ssi.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1205932522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND ST",
            "address_2": "SUITE 300",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863881",
            "telephone_number": "617-698-8855",
            "fax_number": "617-224-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND ST",
            "address_2": "SUITE 300",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863881",
            "telephone_number": "617-698-8855",
            "fax_number": "617-224-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "WING KIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "223560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

Verify at the official NPI Registry.