NPIMap

Individual provider Active NPI

Moo J. Chung, M.D.

  • Internal Medicine Physician
  • Katy, TX
National Provider Identifier
1306846977
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L4888 Issued in TX
Practice address
1331 W. Grand Parkway North
Suite 230
Katy, TX 77493-2711
Phone
(281) 392-8620
Fax
(281) 392-2258
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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 L4888 TX Primary

Addresses

Primary practice location

1331 W. Grand Parkway North
Suite 230
Katy, TX 77493-2711

Mailing address

1331 W. Grand Parkway North
Suite 230
Katy, TX 77493-2711
Phone (281) 392-8620

Other identifiers 2

IdentifierTypeStateIssuer
00U65JOtherTXGROUP MCARE ID
156722401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100611000405 TX Practitioner - Internal Medicine 6709880628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Katy Internal Medicine Associates, L.L.PGroup PAC ID 7719988278, 8 clinicians

Practice addresses (Care Compare)

707 S Fry Rd
Suite 480
Katy, TX 77450-2259
Phone (281) 392-8620

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Katy Internal Medicine Associates, L.L.P. Internal Medicine CurrentSince Sep 1, 2002 Accepting new patients

Locations

1331 W Grand Pkwy N
Ste 230
Katy, TX 77493
Phone (281) 392-8620

707 S Fry Rd
Ste 480
Katy, TX 77450
Phone (281) 392-8620

Interoperability endpoints

  • Direct secure messaging: mjohnchung@katyintern.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Memorial Hermann Rehabilitation Hospital KatyKaty, TX, CCN 673038 Hospital Corporate Director Oct 15, 2017
Accredited Hospice of AmericaKaty, TX, CCN 671725 Hospice W-2 Managing Employee Jun 28, 2011

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1306846977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W. GRAND PARKWAY NORTH",
            "address_2": "SUITE 230",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932711",
            "telephone_number": "281-392-8620",
            "fax_number": "281-392-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W. GRAND PARKWAY NORTH",
            "address_2": "SUITE 230",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932711",
            "telephone_number": "281-392-8620",
            "fax_number": "281-392-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "MOO",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L4888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MCARE ID",
            "identifier": "00U65J",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156722401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.