Individual provider Active NPI

Wooyoung Woodrow Chung, MD

  • General Practice Physician
  • Honolulu, HI
National Provider Identifier
1427122613
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12396 Issued in HI
Practice address
1585 Kapiolani Blvd Ste 1740
Honolulu, HI 96814-4532
Phone
(808) 949-8346
Fax
(808) 949-7060
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 12396 HI
General Practice Physician 208D00000X 12396 HI Primary

Addresses

Primary practice location

1585 Kapiolani Blvd Ste 1740
Honolulu, HI 96814-4532

Mailing address

1600 Kapiolani Blvd
Suite 808
Honolulu, HI 96814-3801
Phone (808) 949-8346

Other names 1

  • Woodrow Chung Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20040614001017 HI Practitioner - Peripheral Vascular DiseasePractitioner - General PracticePractitioner - Emergency MedicinePractitioner - Other (Physician) 7911981428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Peripheral Vascular DiseaseAlso: General Practice
Education
Loyola University of Chicago, Stritch School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1585 Kapiolani Blvd
Suite 1740
Honolulu, HI 96814-4532
Phone (808) 949-8346

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12396HIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Vein Institute, LLC CurrentSince Jul 1, 2011 Accepting new patients
Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients

Locations

1585 Kapiolani Blvd
Ste 1740
Honolulu, HI 96814
Phone (808) 948-9500

1600 Kapiolani Blvd
Ste 808
Honolulu, HI 96814
Phone (808) 949-8346

Interoperability endpoints

  • Direct secure messaging: wooyoung.chung.1@31766.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1427122613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD",
            "address_2": "SUITE 808",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143801",
            "telephone_number": "808-949-8346",
            "fax_number": "808-949-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 KAPIOLANI BLVD STE 1740",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144532",
            "telephone_number": "808-949-8346",
            "fax_number": "808-949-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "WOOYOUNG",
        "middle_name": "WOODROW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "12396",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "HI",
            "license": "12396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WOODROW",
            "last_name": "CHUNG",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.