Individual provider Active NPI

James H Chung, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lake Ridge, VA
National Provider Identifier
1528598281
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301295 Issued in VA
Practice address
1721 Financial Loop
Lake Ridge, VA 22192-2460
Phone
(703) 491-9500
Fax
(703) 491-9994
NPI assigned
Jun 15, 2017
Last updated
Jul 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0103301295 VA
Primary Podiatric Medicine Podiatrist 213EP1101X 0103301295 VA
Sports Medicine Podiatrist 213ES0000X 0103301295 VA
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301295 VA Primary
Foot Surgery Podiatrist 213ES0131X 0103301295 VA

Addresses

Primary practice location

1721 Financial Loop
Lake Ridge, VA 22192-2460

Mailing address

PO Box 844572
Boston, MA 02284-4572
Phone (301) 933-7133

Other practice location 1

945 Garrisonville Rd
Stafford, VA 22556-3906
Phone (540) 720-0700

Other practice location 2

101 Hospital Center Blvd
Stafford, VA 22554-6200
Phone (540) 741-9000

Other practice location 3

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200721001023 DC Practitioner - Podiatry 3375967623 Reassigns benefits to 2 organizations
I20221012003779 VA Practitioner - Podiatry 3375967623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10901 Conn Ave
Suite 200
Kensington, MD 20895-1645
Phone (301) 949-2000

1500 Dixon St
Suite 201
Fredericksburg, VA 22401-7231
Phone (540) 374-5261

1721 Financial Loop
Woodbridge, VA 22192-2460
Phone (703) 491-9500

66 Pkwy LN
Suite 102
Fishersville, VA 22939-2385
Phone (540) 949-5150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue70
Removal of skin lesions34
Removal of nail tissue1148
Removal or shaving of skin growth233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103301295VAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Aug 1, 2022 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Aug 1, 2022 Accepting new patients
My Hoa Kaas DPM PC Foot & Ankle Surgery CurrentSince Sep 14, 2020 Accepting new patients

Locations

10901 Connecticut Ave
Ste 200
Kensington, MD 20895
Phone (301) 949-2000

1600 E Gude Dr
Ste 200
Rockville, MD 20850

2826 Old Lee Hwy
Ste 220
Fairfax, VA 22031
Phone (703) 205-0667

66 Parkway Ln
Ste 102
Fishersville, VA 22939
Phone (540) 949-5150

1500 Dixon St
Ste 201
Fredericksburg, VA 22401
Phone (540) 374-5261

945 Garrisonville Rd
Stafford, VA 22556
Phone (540) 720-0700

1721 Financial Loop
Woodbridge, VA 22192
Phone (703) 491-9500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1528598281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844572",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022844572",
            "telephone_number": "301-933-7133",
            "fax_number": "301-933-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 FINANCIAL LOOP",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221922460",
            "telephone_number": "703-491-9500",
            "fax_number": "703-491-9994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 Garrisonville Rd",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225563906",
            "country_code": "US",
            "telephone_number": "540-720-0700",
            "fax_number": "540-720-4449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Hospital Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225546200",
            "country_code": "US",
            "telephone_number": "540-741-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JAMES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103301295",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "VA",
            "license": "0103301295",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "VA",
            "license": "0103301295",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301295",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103301295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Ridge, VA

Sources for this page

Verify at the official NPI Registry.