Individual provider Active NPI

Kun Huang, M.D.

  • Radiation Oncology Physician
  • Jamaica Plain, MA
National Provider Identifier
1396787461
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A77200 Issued in CA
Practice address
150 S Huntington Ave
Jamaica Plain, MA 02130-4817
Phone
(857) 364-5629
Fax
(857) 364-4478
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 242874 MA
Radiation Oncology Physician 2085R0001X A77200 CA Primary

Addresses

Primary practice location

150 S Huntington Ave
Jamaica Plain, MA 02130-4817

Mailing address

150 S Huntington Ave
Jamaica Plain, MA 02130-4817
Phone (857) 364-5629

Other identifiers 2

IdentifierTypeStateIssuer
00A772000MedicaidCA
242874MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240925003475 CT Practitioner - Radiation Oncology 1951344969 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiation Oncology Physicians of Connecticut LLCGroup PAC ID 3274750872, 8 clinicians
Central Connecticut Radiation Oncology PCGroup PAC ID 5395847966, shared by 2 NPIs, 6 clinicians

Practice addresses (Care Compare)

326 Washington St
Norwich, CT 06360-2740
Phone (860) 892-2777

536 Saybrook Rd
Middletown, CT 06457-4783
Phone (860) 358-2100

Hospital & facility affiliations

  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024
  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020
  • Day Kimball Hospital Hospital, Putnam, CT, CCN 070003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Connecticut Radiation Oncology PC Radiation Oncology CurrentSince Jul 13, 2024 Accepting new patients
Central Connecticut Radiation Oncology PC Radiation Oncology CurrentSince Jul 13, 2024 Accepting new patients
Radiation Oncology Physicians of Connecticut, LLC Radiation Oncology CurrentSince Jul 1, 2024 Accepting new patients
Springfield Radiation Oncology Radiation Oncology Past Accepting new patients
UCSF Department of Laboratory Medicine Past Accepting new patients
The Mercy Hospital Inc Past Accepting new patients

Locations

536 Saybrook Rd
Middletown, CT 06457
Phone (860) 358-2100

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

760 Saybrook Rd
Bldg A
Middletown, CT 06457

536 Saybrook Rd
#C
Middletown, CT 06457
Phone (860) 358-2100

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

Interoperability endpoints

  • Direct secure messaging: khuang90837@middlesexhealthprd.direct-ci.com
  • Direct secure messaging: kun.huang@xdr.hhchealthdirect.org

Organizations & group practices 6

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 6

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1396787461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S HUNTINGTON AVE",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304817",
            "telephone_number": "857-364-5629",
            "fax_number": "857-364-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S HUNTINGTON AVE",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304817",
            "telephone_number": "857-364-5629",
            "fax_number": "857-364-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "KUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MA",
            "license": "242874",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A77200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A772000",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242874",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

Verify at the official NPI Registry.