Adele D. Fung, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

14917 Issued in NV

Practice address

Ms 350
Unr Pathology and Laboratory Dept.
Reno, NV 89557

Phone

(775) 784-4068

Fax

(775) 784-1636

NPI assigned

Dec 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Pathology

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Digestive Disease PAGroup PAC ID 3375714769, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.95 of 100Reported as group

Quality

67.47

Promoting interoperability

96

Improvement activities

40

Cost

85.7

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0900850

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.

• Carolina Digestive Disease PA

  • Gastroenterology Physician
  • Columbia, SC
  • NPI 1285929794
  Medicare reassignment Care Compare group NPD
• Palmetto Endoscopy Suite, LLC

  • Ambulatory Surgical Clinic/Center
  • Columbia, SC
  • NPI 1972808186
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1366626806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WEST 2ND ST.",
            "address_2": "NELSON/#235D/MS 353",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895030353",
            "telephone_number": "775-784-1223",
            "fax_number": "775-327-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MS 350",
            "address_2": "UNR PATHOLOGY AND LABORATORY DEPT.",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89557",
            "telephone_number": "775-784-4068",
            "fax_number": "775-784-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "ADELE",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "002653",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NV",
            "license": "14917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dara Fulstone
• Functional Fitness LLC
• Functional Medicine of Nevada PLLC
• Stephanie Funderburk
• Tatum Funderburk
• Brian Y Fung, M.D.
• Vika Kalehua Fungavaka
• Kai D Funke, DDS
• Mark Funkhouser, PRSS;CHW
• Lindsay Michelle Funston, CPC

• Anatomic Pathology & Clinical Pathology Physician in Reno, NV
• Providers in Reno, NV by specialty
• Anatomic Pathology & Clinical Pathology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.