Individual provider Active NPI

Celestine Shauching Tung, MD

  • Gynecologic Oncology Physician
  • Houston, TX
National Provider Identifier
1366620916
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
M6922 Issued in TX
Practice address
7400 Fannin St Ste 1295
Houston, TX 77054-1934
Phone
(832) 377-3770
Fax
(713) 341-1574
NPI assigned
Feb 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X M6922 TX Primary

Addresses

Primary practice location

7400 Fannin St Ste 1295
Houston, TX 77054-1934

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other identifiers 2

IdentifierTypeStateIssuer
202690809MedicaidTX
202690808MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090619000336 TX Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 3476604117 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6922TXMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jun 1, 2011 Accepting new patients
Baylor College of Medicine CurrentSince Mar 8, 2019 Accepting new patients
Baylor College of Medicine CurrentSince Jun 1, 2011 Accepting new patients
Baylor College of Medicine CurrentSince Mar 8, 2019 Accepting new patients
Texas Children'S Physician Group CurrentSince Jun 1, 2011 Accepting new patients

Locations

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6651 Main St
Ste F320
Houston, TX 77030
Phone (512) 828-3660

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

1515 Holcombe Blvd
Unit 1362
Houston, TX 77030
Phone (713) 563-0701

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

7200 Cambridge St
Ste 7B
Houston, TX 77030
Phone (713) 798-3750

1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446

Organizations & group practices 5

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1366620916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 FANNIN ST STE 1295",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541934",
            "telephone_number": "832-377-3770",
            "fax_number": "713-341-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNG",
        "first_name": "CELESTINE",
        "middle_name": "SHAUCHING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TX",
            "license": "M6922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202690809",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202690808",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.