NPIMap

Individual provider Active NPI

Julia E Jung, M.D.

  • Family Medicine Physician
  • Aurora, CO
National Provider Identifier
1366403297
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39162 Issued in CO
Practice address
1411 S Potomac St
Ste 170
Aurora, CO 80012-4536
Phone
(303) 755-8100
Fax
(303) 755-8101
NPI assigned
Mar 30, 2006
Last updated
Jan 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39162 CO Primary

Addresses

Primary practice location

1411 S Potomac St
Ste 170
Aurora, CO 80012-4536

Mailing address

1411 S Potomac St
Ste 170
Aurora, CO 80012-4536
Phone (303) 755-8100

Other identifiers 1

IdentifierTypeStateIssuer
08805245MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20110307000366 CO Practitioner - Family Practice 2961399878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1411 S Potomac St
Suite 170
Aurora, CO 80012-4542
Phone (303) 755-8100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39162COMDSurgical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
First Health Family Medicine, LLC Family Medicine CurrentSince Oct 9, 2002 Accepting new patients

Locations

1411 S Potomac St
Ste 170
Aurora, CO 80012
Phone (303) 755-8100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1366403297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 S POTOMAC ST",
            "address_2": "STE 170",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124536",
            "telephone_number": "303-755-8100",
            "fax_number": "303-755-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S POTOMAC ST",
            "address_2": "STE 170",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124536",
            "telephone_number": "303-755-8100",
            "fax_number": "303-755-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "JULIA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08805245",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.