Active NPI
Duc Minh Chung, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- A123039
- Practice address
- 155 N Fresno St
Fresno, CA 93701-2302 - Phone
- (559) 499-6400
- NPI assigned
- Apr 6, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | A123039 | CA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | A123039 | CA | Primary |
Addresses
Primary practice location
155 N Fresno St
Fresno, CA 93701-2302
Mailing address
155 N Fresno St
Fresno, CA 93701-2302
Phone (559) 499-6400
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160930002180 | CA | Practitioner - Hospice/Palliative Care | 5890933303 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A123039 | CA | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hinds Hospice | Current | Accepting new patients | |
| Hinds Hospice | Current | Accepting new patients |
Locations
2490 W Shaw Ave
Ste 101
Fresno, CA 93711
Phone (559) 226-5683
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Saint Agnes Home Health and Hospice, LLC | Hospice | Contracted Managing Employee | Jan 2, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Fresno, CA
- NPI 1750478293
Contracted Managing Employee
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.
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1477873115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505779200000",
"number": "1457640872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937012302",
"telephone_number": "559-499-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937012302",
"telephone_number": "559-499-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "DUC",
"middle_name": "MINH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-06",
"last_updated": "2017-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A123039",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "CA",
"license": "A123039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.