NPIMap

Individual provider Active NPI

Ji Hye Chung Charlton, M.D.

  • Hospitalist Physician
  • Grove City, PA
National Provider Identifier
1316292196
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD467342 Issued in PA
Practice address
631 N Broad Street Ext
Grove City, PA 16127-4603
Phone
(724) 450-7246
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD467342 PA Primary
Internal Medicine Physician 207R00000X MD467342 PA

Addresses

Primary practice location

631 N Broad Street Ext
Grove City, PA 16127-4603

Mailing address

PO Box 1549
Butler, PA 16003-1549
Phone (724) 285-0823

Other practice location 1

1 Hospital Way
Butler, PA 16001-4670
Phone (724) 285-0823

Other identifiers 1

IdentifierTypeStateIssuer
MD467342OtherPALICENSE

Other names 1

  • Ji Hye Chung Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190911001799 PA Practitioner - HospitalistPractitioner - Internal Medicine 8628379831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

631 N Broad St Ext
Allegheny Hospital Medicine Special
Grove City, PA 16127-4603
Phone (724) 450-7246

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD467342PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Internal Medicine CurrentSince Jan 9, 2024 Accepting new patients
Butler Medical Providers Current Accepting new patients
Butler Medical Providers CurrentSince Sep 1, 2019 Accepting new patients
Butler Medical Providers CurrentSince Sep 1, 2019 Accepting new patients
Allegheny Clinic CurrentSince Jan 9, 2024 Accepting new patients
West Penn Allegheny Health System, Inc Past Accepting new patients

Locations

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

631 N Broad Street Ext
Grove City, PA 16127
Phone (724) 450-7000

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

12351 Perry Hwy
Wexford, PA 15090
Phone (412) 359-3030

Interoperability endpoints

  • Direct secure messaging: jcharlton799137@direct.ahn.org
  • Direct secure messaging: charlton.jih.ye@onehealth.medicity.net

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 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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1316292196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1549",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160031549",
            "telephone_number": "724-285-0823",
            "fax_number": "724-285-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 N BROAD STREET EXT",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274603",
            "telephone_number": "724-450-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Way",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160014670",
            "country_code": "US",
            "telephone_number": "724-285-0823",
            "fax_number": "724-285-0879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLTON",
        "first_name": "JI HYE",
        "middle_name": "CHUNG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD467342",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD467342",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD467342",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JI HYE",
            "last_name": "CHUNG",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grove City, PA

Sources for this page

Verify at the official NPI Registry.