Individual provider Active NPI

Michael Keemun Hong, MD

  • Hospitalist Physician
  • Visalia, CA
National Provider Identifier
1407381007
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A169777 Issued in CA
Practice address
3335 S Fairway St
Visalia, CA 93277-7781
Phone
(559) 734-1321
NPI assigned
Apr 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A169777 CA
Hospitalist Physician 208M00000X A169777 CA Primary

Addresses

Primary practice location

3335 S Fairway St
Visalia, CA 93277-7781

Mailing address

3335 S Fairway St
Visalia, CA 93277-7781
Phone (559) 734-1321

Other practice location 1

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-9106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201103003045 CA Practitioner - Family Practice 8628304391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Key Medical Associates IncGroup PAC ID 6103156591, 13 clinicians

Practice addresses (Care Compare)

3335 S Fairway St
Visalia, CA 93277-7781
Phone (559) 734-1321

3638 W Packwood Ave
Visalia, CA 93277-5010
Phone (559) 734-6702

3642 W Packwood Ave
Visalia, CA 93277-5010
Phone (559) 713-1111

5128 W Cypress Ave
Visalia, CA 93277-8303
Phone (559) 713-1717

Hospital & facility affiliations

  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A169777CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Key Medical Associates, Inc. CurrentSince Sep 15, 2020 Accepting new patients

Locations

5128 W Cypress Ave
Visalia, CA 93277
Phone (559) 713-1111

3335 S Fairway St
Visalia, CA 93277
Phone (559) 734-1321

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

3642 W Packwood Ave
Visalia, CA 93277
Phone (559) 713-1111

Organizations & group practices 1

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 1

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": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1407381007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 S FAIRWAY ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777781",
            "telephone_number": "559-734-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 S FAIRWAY ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777781",
            "telephone_number": "559-734-1321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1086 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159054305",
            "country_code": "US",
            "telephone_number": "814-534-9106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONG",
        "first_name": "MICHAEL",
        "middle_name": "KEEMUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-21",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A169777",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A169777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.