Sanford Fung, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L3651 Issued in TX

Practice address

105 Ovilla Oaks Dr
Ovilla, TX 75154-5609

Phone

(469) 432-4004

Fax

(877) 853-9435

NPI assigned

Apr 16, 2007

Last updated

Apr 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Family Practice

Education

University of Texas Medical School at Houston, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Allstar Healthcare Inc Home health agency, Arlington, TX, CCN 679001
• Lone Star Home Health Services Home health agency, Irving, TX, CCN 679267

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• 3C Medical Care, PA

  • Family Medicine Physician
  • Ovilla, TX
  • NPI 1851765622
  Medicare reassignment NPD Authorized official
• CLH Physicians PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1073613931
  NPD (past)
• Housecall Doctors of North Texas PA

  • Home Health Clinical Nurse Specialist
  • Dallas, TX
  • NPI 1629024443
  NPD (past)
• Martin Luther King Jr Family Clinic

  • Federally Qualified Health Center (FQHC)
  • Dallas, TX
  • NPI 1851492557
  NPD (past)
• Vpa of Texas PLLC

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1578175865
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Allstar Healthcare, Inc

  • Home Health Agency
  • Arlington, TX
  • NPI 1255307674
  Care Compare affiliation
• Mediguard America, Inc.

  dba Lone Star Home Health Services

  • Home Health Agency
  • Irving, TX
  • NPI 1174577183
  Care Compare affiliation

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1356566384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 OVILLA OAKS DR",
            "city": "OVILLA",
            "state": "TX",
            "postal_code": "751545609",
            "telephone_number": "469-432-4004",
            "fax_number": "877-853-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 OVILLA OAKS DR",
            "city": "OVILLA",
            "state": "TX",
            "postal_code": "751545609",
            "telephone_number": "469-432-4004",
            "fax_number": "877-853-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "SANFORD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN",
            "identifier": "L3651",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlee Long Enterprises (Total Therapies and Wellness)
• Tyler Augustus, LPC
• Bridgeway Life Development Foundation
• Caya
• City of Ovilla (Ovilla Fire Department)
• Andrietta A Gayles, ED.D
• Micheala Greene
• Genevieve Iwuala, FNP
• Toyeisha Kelley, LMSW
• Anne Lantey

• Family Medicine Physician in Ovilla, TX
• Providers in Ovilla, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.