Individual provider Active NPI

Amy Chung, DO

  • Internal Medicine Physician
  • Shenandoah, TX
National Provider Identifier
1376987057
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R1720 Issued in TX
Practice address
134 Vision Park Blvd Ste 300
Shenandoah, TX 77384-3032
Phone
(281) 296-8500
NPI assigned
Apr 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X UO2777 FL
Internal Medicine Physician 207R00000X R1720 TX Primary

Addresses

Primary practice location

134 Vision Park Blvd Ste 300
Shenandoah, TX 77384-3032

Mailing address

10612 Wild Ridge Dr
The Woodlands, TX 77380-1340
Phone (713) 384-6817

Other practice location 1

24917 Fm 1314 Rd
Porter, TX 77365-4982
Phone (713) 461-2915

Other practice location 2

2103 Fm 2920 Rd
Spring, TX 77388-3412
Phone (713) 461-2915

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy.chung.1@13711.direct.athenahealth.com

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
I20170505000515 TX Practitioner - Internal Medicine 8628355385 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

10970 Shadow Creek Pkwy
Suite 100
Pearland, TX 77584-0166
Phone (281) 398-8500

134 Vision Park Blvd
Shenandoah, TX 77384-3032

17450 St Lukes Way
Suite 230
The Woodlands, TX 77384-8045
Phone (832) 334-7756

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

8215 Cypresswood Dr
Spring, TX 77379-7466
Phone (832) 717-0877

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO2777FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince May 1, 2024 Accepting new patients
Poppy Drive Inpatient Services PLLC Internal Medicine CurrentSince Mar 20, 2017 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince May 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Feb 1, 2018 Accepting new patients

Locations

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

10655 Steepletop Dr
Houston, TX 77065
Phone (281) 890-4285

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

134 Vision Park Blvd
Ste 300
Shenandoah, TX 77384
Phone (281) 296-8500

8845 Six Pines Dr
Ste 200
Shenandoah, TX 77380

8845 Six Pines Dr
Fl 2
Shenandoah, TX 77380
Phone (281) 367-3343

134 Vision Park Blvd
Shenandoah, TX 77384

2255 E Mossy Oaks Rd
Ste 500
Spring, TX 77389
Phone (832) 232-5658

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

231 S Collins Rd
Sunnyvale, TX 75182
Phone (972) 203-6240

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

9303 Pinecroft Dr
Ste 340
The Woodlands, TX 77380
Phone (281) 681-0616

Interoperability endpoints

  • Direct secure messaging: amy.chung.1@8042.direct.athenahealth.com
  • Direct secure messaging: amy.chung.1@13711.direct.athenahealth.com

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.

Hospital & facility affiliations 10

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": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1376987057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10612 WILD RIDGE DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801340",
            "telephone_number": "713-384-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 VISION PARK BLVD STE 300",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843032",
            "telephone_number": "281-296-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24917 Fm 1314 Rd",
            "address_purpose": "LOCATION",
            "city": "Porter",
            "state": "TX",
            "postal_code": "773654982",
            "country_code": "US",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2103 Fm 2920 Rd",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773883412",
            "country_code": "US",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "AMY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "UO2777",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R1720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.chung.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "24917 Fm 1314 Rd",
            "city": "Porter",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773654982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.