Individual provider Active NPI

Stephanie Histed Chung, M.D.

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1316206196
Registry record updated Apr 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA11046400 Issued in NJ
Practice address
75 Francis St
Boston, MA 02115-6110
Phone
(617) 953-2947
NPI assigned
May 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA11046400 NJ Primary

Addresses

Primary practice location

75 Francis St
Boston, MA 02115-6110

Mailing address

55 Fruit St
Boston, MA 02114-2696
Phone (617) 643-7972

Other names 1

  • Dr. Stephanie Nicole Histed Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190822000262 MA Practitioner - Diagnostic Radiology 3779847991 Reassigns benefits to 2 organizations
I20210729001544 NJ Practitioner - Diagnostic Radiology 3779847991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Haddonfield, NJ 08033
Phone (570) 561-3231

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11046400NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital Corp Current Accepting new patients
Cooper University Radiology, PC Diagnostic Radiology CurrentSince Jun 23, 2021 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Sep 1, 2019 Accepting new patients
Harbor Medical Associates, Inc. Diagnostic Radiology CurrentSince Oct 1, 2019 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

55 Fruit St
Boston, MA 02114

375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

541 Main St
Ste 101
South Weymouth, MA 02190
Phone (781) 331-7799

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

3 Cooper Plz
Camden, NJ 08103
Phone (609) 342-2001

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1103 Kings Hwy N
Cherry Hill, NJ 08034
Phone (609) 321-1800

Interoperability endpoints

  • Direct secure messaging: chung.stephanie.mgh@direct.partners.masshiway.net

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 and National Provider Directory roles.

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": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775865600000",
    "number": "1316206196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-643-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-953-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "STEPHANIE",
        "middle_name": "HISTED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2026-04-11",
        "certification_date": "2026-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA11046400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HISTED",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.