NPIMap

Individual provider Active NPI

Ernest Chung, M.D.

  • Internal Medicine Physician
  • Saint Cloud, FL
National Provider Identifier
1265404735
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME83366 Issued in FL
Practice address
3008 17TH St
Saint Cloud, FL 34769-6011
Phone
(407) 892-5856
Fax
(407) 892-5885
NPI assigned
Feb 7, 2006
Last updated
May 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME83366 FL Primary

Addresses

Primary practice location

3008 17TH St
Saint Cloud, FL 34769-6011

Mailing address

3008 17TH St
Saint Cloud, FL 34769-6011
Phone (407) 892-5856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040913000435 FL Practitioner - Internal Medicine 6305813338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

3008 17TH St
Saint Cloud, FL 34769-6011
Phone (770) 312-5226

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME83366FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ernest Chung MD & Associates PA CurrentSince May 10, 2004 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Privia Medical Group Florida, LLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Infectious Disease Specialists of Central Florida , PA PastSince Dec 1, 2004 Accepting new patients
Florida Hospital Medical Group Inc Past Accepting new patients

Locations

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

2920 17th St
Saint Cloud, FL 34769
Phone (321) 284-3723

3008 17th St
Saint Cloud, FL 34769
Phone (407) 892-5856

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

Interoperability endpoints

  • Direct secure messaging: echung178902@orlandohealth.medalliesdirect.net
  • Direct secure messaging: ernest.chung.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 6

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1265404735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 17TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696011",
            "telephone_number": "407-892-5856",
            "fax_number": "407-892-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 17TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696011",
            "telephone_number": "407-892-5856",
            "fax_number": "407-892-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME83366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.