Active NPI
Cindy K W Hung, M.D.
- Family Medicine Physician
- Southfield, MI
National Provider Identifier
1386693166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301059337
- Practice address
- 26185 Greenfield Rd
Southfield, MI 48076-4709 - Phone
- (248) 569-2040
- Fax
- (248) 569-2048
- NPI assigned
- May 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301059337 | MI | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 4301059337 | MI |
Addresses
Primary practice location
26185 Greenfield Rd
Southfield, MI 48076-4709
Mailing address
26185 Greenfield Rd
Southfield, MI 48076-4709
Phone (248) 569-2040
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4958821 | Medicaid | MI | |
| 080D410020 | Other | MI | BCBSM BCN COMM BLUE CHOIC |
| 1022806 | Other | MI | MHP HAN INDIVIDUAL |
| 1022853 | Other | MI | MHP HAN GROUP |
| 4428146 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301059337 | MI | MD | Family Medicine Physician |
Interoperability endpoints
- chung17027@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484352000000",
"number": "1386693166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26185 GREENFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480764709",
"telephone_number": "248-569-2040",
"fax_number": "248-569-2048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26185 GREENFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480764709",
"telephone_number": "248-569-2040",
"fax_number": "248-569-2048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNG",
"first_name": "CINDY",
"middle_name": "K W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2017-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301059337",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "4301059337",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4958821",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM BCN COMM BLUE CHOIC",
"identifier": "080D410020",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHP HAN INDIVIDUAL",
"identifier": "1022806",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHP HAN GROUP",
"identifier": "1022853",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4428146",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.