Individual provider Active NPI

John Yohan Chong, M.D.

  • Ophthalmology Physician
  • Centreville, VA
National Provider Identifier
1326219429
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101243232 Issued in VA
Practice address
5900 Fort Dr
Suite 301
Centreville, VA 20121-2425
Phone
(571) 210-5535
Fax
(703) 376-8865
NPI assigned
Mar 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101243232 VA Primary

Addresses

Primary practice location

5900 Fort Dr
Suite 301
Centreville, VA 20121-2425

Mailing address

5900 Fort Dr
Suite 301
Centreville, VA 20121-2425
Phone (571) 210-5535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20081006000281 DC Practitioner - Ophthalmology 9234207143 Reassigns benefits to 1 organization
I20220718003309 VA Practitioner - Ophthalmology 9234207143

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
George Washington University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5900 Fort Dr
Suite 301
Centreville, VA 20121-2425
Phone (571) 210-5535

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Adult and Pediatric Ophthalmology, PC Ophthalmology CurrentSince Mar 1, 2013 Accepting new patients

Locations

5900 Fort Dr
Ste 301
Centreville, VA 20121
Phone (571) 210-5535

Interoperability endpoints

  • Direct secure messaging: jchongmd@vapoeyes.direct.eyemdemr.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1326219429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 FORT DR",
            "address_2": "SUITE 301",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212425",
            "telephone_number": "571-210-5535",
            "fax_number": "703-376-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 FORT DR",
            "address_2": "SUITE 301",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212425",
            "telephone_number": "571-210-5535",
            "fax_number": "703-376-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "JOHN",
        "middle_name": "YOHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-17",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101243232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

Verify at the official NPI Registry.