Individual provider Active NPI

Dar Chung, MD

  • Vascular Surgery Physician
  • Grand Rapids, MI
National Provider Identifier
1538802731
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
4351049936 Issued in MI
Practice address
275 Michigan St NE FL 6
Grand Rapids, MI 49503-2531
Phone
(616) 267-8700
NPI assigned
Apr 15, 2022
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 4351049936 MI Primary

Addresses

Primary practice location

275 Michigan St NE FL 6
Grand Rapids, MI 49503-2531

Mailing address

275 Michigan St NE Ste NE
6TH Floor
Grand Rapids, MI 49503-2531

Other practice location 1

4069 Lake Dr SE Ste 312
Grand Rapids, MI 49546-8816
Phone (616) 267-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220615003003 MI Order and Referring Only - Vascular SurgeryPractitioner - Vascular Surgery 7618356080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4351049936MIMDVascular Surgery Physician

Interoperability endpoints

  • Direct secure messaging: dchung35874@direct.trinity-health.org

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1538802731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MICHIGAN ST NE STE NE",
            "address_2": "6TH FLOOR",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MICHIGAN ST NE FL 6",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032531",
            "telephone_number": "616-267-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4069 Lake Dr SE Ste 312",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495468816",
            "country_code": "US",
            "telephone_number": "616-267-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "DAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "4351049936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.