Individual provider Active NPI

Steven Ray Tung, M.D.

  • Anesthesiology Physician
  • Indianapolis, IN
National Provider Identifier
1427217082
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01036833A Issued in IN
Practice address
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone
(317) 577-4200
Fax
(317) 577-9503
NPI assigned
Jun 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME112846 FL
Anesthesiology Physician 207L00000X EMC0003359 MI
Anesthesiology Physician 207L00000X 35.092543 OH
Anesthesiology Physician 207L00000X MD484261 PA
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 30941 WA
Pain Medicine (Anesthesiology) Physician 207LP2900X 01036833A IN
Pain Medicine (Anesthesiology) Physician 207LP2900X 30941 WA
Anesthesiology Physician 207L00000X 01036833A IN Primary
Anesthesiology Physician 207L00000X 30941 WA

Addresses

Primary practice location

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

410 W 10th Ave
Columbus, OH 43210-1240
Phone (614) 293-8487

Other practice location 2

1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 672-2000

Other practice location 3

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-5118

Other identifiers 4

IdentifierTypeStateIssuer
12PX0OtherFLBCBS/FLORIDA BLUE
2837014MedicaidOH
008664000MedicaidFL
1084342MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stung@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WI, MO, NY, NH, IL, IN, MI8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20090507000004 OH Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 3678631116 Reassigns benefits to 1 organization
I20110511000824 WI Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Critical Care (Intensivists) 3678631116 Reassigns benefits to 1 organization
I20130222000121 MO Practitioner - Anesthesiology 3678631116 Reassigns benefits to 1 organization
I20190212002419 NY Practitioner - Anesthesiology 3678631116 Reassigns benefits to 3 organizations
I20190923002977 NH Practitioner - Anesthesiology 3678631116 Reassigns benefits to 1 organization
I20220125002636 IL Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 3678631116 Reassigns benefits to 2 organizations
I20221031000692 IN Practitioner - AnesthesiologyPractitioner - Pain Management 3678631116 Reassigns benefits to 1 organization
I20231229002204 MI Practitioner - Anesthesiology 3678631116 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30941WAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Care Group PC Anesthesiology CurrentSince Aug 7, 2019 Accepting new patients
Albany Medical College Anesthesiology Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Anesthesiology CurrentSince Apr 1, 2019 Accepting new patients
Northstar Anesthesia of Ohio LLC Anesthesiology CurrentSince Sep 6, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Nov 3, 2021 Accepting new patients
Associated Anesthesiologists, S.C. Anesthesiology CurrentSince Dec 6, 2022 Accepting new patients
Associated Anesthesiologists, SC Anesthesiology CurrentSince Dec 6, 2022 Accepting new patients
Stateline Anesthesiologists SC Anesthesiology CurrentSince Feb 11, 2021 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Dec 5, 2022 Accepting new patients
Northstar Anesthesia of Missouri, LLC Anesthesiology CurrentSince Aug 1, 2017 Accepting new patients
Albany Medical College CurrentSince Jan 14, 2019 Accepting new patients
Albany Medical College Anesthesiology CurrentSince Jan 14, 2019 Accepting new patients
Montefiore Medical Center Anesthesiology CurrentSince Nov 3, 2021 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Jan 14, 2020 Accepting new patients
Hart Road Pathology SC Past Accepting new patients
Stuart Cardiovascular Associates, PLLC PastSince Jul 31, 2006 Accepting new patients
Stuart Cardiovascular Anesthesia Associates PLLC Anesthesiology PastSince Jul 31, 2006 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

5605 E Rockton Rd
Roscoe, IL 61073
Phone (815) 525-4000

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

47 New Scotland Ave
#131
Albany, NY 12208
Phone (518) 262-4300

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

25 Hackett Blvd
#131
Albany, NY 12208

111 E 210th St
Bronx, NY 10467

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

1769 Union St
Ste 3
Niskayuna, NY 12309
Phone (518) 382-1151

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

3005 S Riverside Dr
Ste 206
Beloit, WI 53511

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

Interoperability endpoints

  • Direct secure messaging: stung2811458@direct.trinity-health.org

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

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    "number": "1427217082",
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            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
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        {
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            "fax_number": "317-577-9503"
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    "practiceLocations": [
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            "postal_code": "432101240",
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            "fax_number": "614-293-8153",
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            "address_type": "DOM"
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            "address_1": "1500 E Sherman Blvd",
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            "telephone_number": "231-672-2000",
            "country_name": "United States",
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        },
        {
            "address_1": "111 S Front St",
            "address_purpose": "LOCATION",
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            "postal_code": "171012010",
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            "telephone_number": "717-782-5118",
            "fax_number": "717-782-5854",
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    ],
    "basic": {
        "last_name": "TUNG",
        "first_name": "STEVEN",
        "middle_name": "RAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-08",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
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            "taxonomy_group": "",
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            "license": "EMC0003359",
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        {
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            "desc": "Anesthesiology, Critical Care Medicine",
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            "license": "30941",
            "primary": false
        },
        {
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    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/FLORIDA BLUE",
            "identifier": "12PX0",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2837014",
            "state": "OH"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "008664000",
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    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stung@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N Senate Blvd",
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            "state": "IN",
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            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
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    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.