NPIMap

Individual provider Active NPI

Andrew Chun, MD

  • Gastroenterology Physician
  • Cincinnati, OH
National Provider Identifier
1255370300
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35076752 Issued in OH
Practice address
2925 Vernon PL Ste 100
Cincinnati, OH 45219-2425
Phone
(513) 751-6667
Fax
(513) 872-4553
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 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 35076752 OH Primary

Addresses

Primary practice location

2925 Vernon PL Ste 100
Cincinnati, OH 45219-2425

Mailing address

7975 Greylock Dr
Cincinnati, OH 45243-2725
Phone (513) 794-5600

Other practice location 1

1450 Columbus Ave Ste 106
Washington Court House, OH 43160-3701
Phone (740) 333-2922

Other identifiers 1

IdentifierTypeStateIssuer
2165562MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address andrew.chun@gastrohealth.eclinicaldirectplus.com GCGA Physicians Inc.
Direct Messaging Address andrewchun@fcmhms.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050608000060 OH Practitioner - Gastroenterology 9133012214 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Jefferson Medical College of Thomas Jefferson University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians
Gcga Physicians Inc.Group PAC ID 4284618224, 76 clinicians

Practice addresses (Care Compare)

1510 Columbus Ave
Suite 230
Washington Court House, OH 43160-1987
Phone (740) 333-3333

2925 Vernon PL
Suite 100
Cincinnati, OH 45219-2425
Phone (513) 751-6667

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy66
Upper gastrointestinal (GI) endoscopy for acid reflux74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC CurrentSince Aug 20, 2024 Accepting new patients
Highland District Hospital Professional Services Corporation CurrentSince Mar 1, 2023 Accepting new patients
Highland District Hospital Professional Services Corporation CurrentSince Mar 1, 2023 Accepting new patients
Gcga Physicians Inc. Gastroenterology CurrentSince Jun 29, 2021 Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients
Liberty Endoscopy Center PastSince Jun 29, 2021 Accepting new patients

Locations

2925 Vernon Pl
Ste 100
Cincinnati, OH 45219
Phone (513) 872-4555

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

7372 Liberty One Dr
Liberty Township, OH 45044
Phone (513) 569-1355

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

1510 Columbus Ave
Ste 230
Wshngtn Ct Hs, OH 43160
Phone (740) 333-3333

1430 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2705

1450 Columbus Ave
Ste 106
Wshngtn Ct Hs, OH 43160
Phone (614) 766-2006

Interoperability endpoints

  • Direct secure messaging: achun1225707@direct.osumc.edu
  • Direct secure messaging: andrew.chun@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 7

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 10

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1255370300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 GREYLOCK DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452432725",
            "telephone_number": "513-794-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 VERNON PL STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192425",
            "telephone_number": "513-751-6667",
            "fax_number": "513-872-4553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Columbus Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Washington Court House",
            "state": "OH",
            "postal_code": "431603701",
            "country_code": "US",
            "telephone_number": "740-333-2922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35076752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2165562",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.chun@gastrohealth.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "eCW Direct messaging Address",
            "affiliationName": "GCGA Physicians Inc.",
            "address_1": "2925 Vernon Pl",
            "address_2": "Suite 100",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452192425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrewchun@fcmhms.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1450 Columbus Ave Ste 106",
            "city": "Washington Court House",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431603701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.