Kevin E Chun, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0064096 Issued in FL

Practice address

1132 E North Blvd
Leesburg, FL 34748-5350

Phone

(352) 365-6650

Fax

(352) 365-0932

NPI assigned

Jun 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Schweiger Dermatology Group PA

  dba Schweiger Dermatology Group

  • Dermatology Physician
  • Leesburg, FL
  • NPI 1598843914
  Medicare reassignment NPD
• Pathology Medical Laboratories

  • Clinical Medical Laboratory
  • Leesburg, FL
  • NPI 1003896853
  NPD (past)

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1447256201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 E NORTH BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485350",
            "telephone_number": "352-365-6650",
            "fax_number": "352-365-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 E NORTH BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485350",
            "telephone_number": "352-365-6650",
            "fax_number": "352-365-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "KEVIN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "0064096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006556600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alycia Ann Chiaramonti, O.D.
• Chiropracticusa of Leesburg, Inc
• Mohammed Afzal Choudhry, MD
• Gary Marvin Christensen, DDS
• Christopher T Soprenuk MD PA
• Kristin Leah Churchill, LMT
• Vincent Charles Cicchetti
• Mary Catherine Cisco, DNP, MBA, MSN, FNP-C
• Citrus Homehealth, Inc. (Accomplished Home Care)
• Ashley Clark, PTA

• Dermatology Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.