NPIMap

Individual provider Active NPI

Charlie Jung, MD

  • Urology Physician
  • Richmond, VA
National Provider Identifier
1245316702
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101 241194 Issued in VA
Practice address
9101 Stony Point Dr
Richmond, VA 23235
Phone
(804) 330-9105
Fax
(804) 287-6119
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101 241194 VA Primary

Addresses

Primary practice location

9101 Stony Point Dr
Richmond, VA 23235

Mailing address

9101 Stony Point Dr
Richmond, VA 23235
Phone (804) 330-9105

Other identifiers 3

IdentifierTypeStateIssuer
1245316702MedicaidVA
P00418748OtherVAMEDICARE RAILROAD
014334V08OtherVAMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL fhir.virginiaurology.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070911000229 VA Practitioner - Urology 4284727991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Vanderbilt University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Urology CenterGroup PAC ID 2365339264, 89 clinicians

Practice addresses (Care Compare)

6900 Forest Ave
Suite 200
Richmond, VA 23230-1701
Phone (804) 330-9105

Hospital & facility affiliations

  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032

Merit-based Incentive Payment System (MIPS)

Final score
77.01 of 100Reported as group
Quality
47.65
Promoting interoperability
100
Improvement activities
40
Cost
75.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection18
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101 241194VAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Urology Center Urology CurrentSince Jul 1, 2007 Accepting new patients
Virginia Urology Center, P.C. CurrentSince Jul 1, 2007 Accepting new patients

Locations

431 S Main St
Emporia, VA 23847

6 Doctors Dr
Emporia, VA 23847
Phone (434) 336-1900

8152 Pleasant Grove Rd
Mechanicsville, VA 23116
Phone (804) 730-5023

2025 Waterside Rd
Ste 105
Prince George, VA 23875

6900 Forest Ave
Ste 200
Richmond, VA 23230
Phone (804) 288-4137

6605 W Broad St
Ste G201
Richmond, VA 23230

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

9101 Stony Point Dr
Richmond, VA 23235

1700 Mills Rd
Ste B
Richmond, VA 23233

1396 Tappahannock Blvd
#B
Tappahannock, VA 22560
Phone (804) 288-1953

1396 Tappahannock Blvd
#17
Tappahannock, VA 22560

1396 Tappahannock Blvd
Ste B
Tappahannock, VA 22560

Interoperability endpoints

  • Direct secure messaging: charlie.jung.1@30293.direct.athenahealth.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 11

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1245316702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 STONY POINT DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-330-9105",
            "fax_number": "804-287-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 STONY POINT DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-330-9105",
            "fax_number": "804-287-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "CHARLIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101 241194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245316702",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00418748",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "014334V08",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "fhir.virginiaurology.com",
            "affiliation": "N",
            "address_1": "9101 Stony Point Dr",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "23235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.