Active NPI
Katherine D Chung, M.D.
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1235194549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME91328
- Practice address
- 3550 Biscayne Blvd
Suite 600
Miami, FL 33137-3841 - Phone
- (786) 431-1073
- Fax
- (305) 456-3509
- NPI assigned
- Apr 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME91328 | FL | Primary |
Addresses
Primary practice location
3550 Biscayne Blvd
Suite 600
Miami, FL 33137-3841
Mailing address
3550 Biscayne Blvd
Suite 600
Miami, FL 33137-3841
Phone (786) 431-1073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271200800 | Medicaid | FL |
Other names 1
- Katherine Donna Chung-Bridges
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Florida International Cardiology Consultants Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Interventional Cardiology Physician
- Miami, FL
- NPI 1033119656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1235194549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 BISCAYNE BLVD",
"address_2": "SUITE 600",
"city": "MIAMI",
"state": "FL",
"postal_code": "331373841",
"telephone_number": "786-431-1073",
"fax_number": "305-456-3509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 BISCAYNE BLVD",
"address_2": "SUITE 600",
"city": "MIAMI",
"state": "FL",
"postal_code": "331373841",
"telephone_number": "786-431-1073",
"fax_number": "305-456-3509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "KATHERINE",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME91328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271200800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "CHUNG-BRIDGES",
"middle_name": "DONNA",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.