Individual provider Active NPI

Yun Chin Chong, M.D.

  • Nephrology Physician
  • Phoenix, AZ
National Provider Identifier
1245224757
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
36568 Issued in AZ
Practice address
337 E Coronado Rd
Suite 201
Phoenix, AZ 85004-1580
Phone
(602) 252-8081
Fax
(602) 252-1520
NPI assigned
Sep 12, 2005
Last updated
Jun 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 36568 AZ Primary

Addresses

Primary practice location

337 E Coronado Rd
Suite 201
Phoenix, AZ 85004-1580

Mailing address

2149 E Warner Rd
Suite 101
Tempe, AZ 85284-3494
Phone (480) 610-6100

Other identifiers 1

IdentifierTypeStateIssuer
194817MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070420000527 AZ Practitioner - NephrologyPractitioner - Internal Medicine 2961469978 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

2610 N 3Rd St
Phoenix, AZ 85004-1102
Phone (480) 610-6100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36568AZMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Southwest Kidney Institute, PLC Nephrology Current Accepting new patients
Southwest Kidney Institute, PLC Nephrology CurrentSince Jul 1, 2007 Accepting new patients
Sjhmc Physician Services CurrentSince Aug 23, 2017 Accepting new patients
Southwest Kidney Institute, PLC Nephrology CurrentSince Jul 1, 2007 Accepting new patients
Southwest Kidney Institute Scottsdale LLC Nephrology CurrentSince Jan 11, 2014 Accepting new patients

Locations (25 of 28)

214 S Main St
Cottonwood, AZ 86326
Phone (928) 634-7534

617 N Humphreys St
Ste 102
Flagstaff, AZ 86001

5330 S Highway 95
Ste M
Fort Mohave, AZ 86426

3090 N Litchfield Rd
Ste 120
Goodyear, AZ 85395
Phone (602) 843-8426

1739 E Beverly Ave
Ste 221
Kingman, AZ 86409
Phone (928) 681-8671

2005 Injo Dr
Ste 103
Lake Havasu City, AZ 86403
Phone (520) 854-1111

7362 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (480) 610-6152

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

2610 N 3rd St
Phoenix, AZ 85004
Phone (602) 264-3541

1111 E McDowell Rd
Ste B
Phoenix, AZ 85006
Phone (602) 258-1521

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

337 E Coronado Rd
Ste 201
Phoenix, AZ 85004
Phone (602) 252-8081

2525 W Carefree Hwy
Phoenix, AZ 85085
Phone (602) 840-0681

2620 N 3rd St
Ste 100
Phoenix, AZ 85004
Phone (602) 277-1558

9212 N Central Ave
Phoenix, AZ 85020
Phone (480) 999-4954

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

1000 Willow Creek Rd
Prescott, AZ 86301
Phone (520) 445-2424

7763 E Florentine Rd
Prescott Vly, AZ 86314
Phone (928) 717-1800

75 Colonia de Salud
Ste 200B
Sierra Vista, AZ 85635
Phone (520) 320-7999

10503 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 832-5349

13991 W Grand Ave
Ste 102
Surprise, AZ 85374
Phone (623) 233-1050

1100 E University Dr
Ste 102
Tempe, AZ 85288
Phone (480) 610-6152

2149 E Warner Rd
Ste 101
Tempe, AZ 85284
Phone (480) 610-6111

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

1845 W Orange Grove Rd
Ste 111
Tucson, AZ 85704
Phone (520) 329-8298

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2697/brand/1/csg/22/fhir/r4
  • Direct secure messaging: yun.chong.1@2697.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1245224757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD",
            "address_2": "SUITE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843494",
            "telephone_number": "480-610-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 E CORONADO RD",
            "address_2": "SUITE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041580",
            "telephone_number": "602-252-8081",
            "fax_number": "602-252-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "YUN",
        "middle_name": "CHIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "36568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194817",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.