Individual provider Active NPI

Tung Tammy Chu, MD

  • Ophthalmology Physician
  • Flushing, NY
National Provider Identifier
1548356454
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
211188 Issued in NY
Practice address
13360 41St Ave FL 3
Flushing, NY 11355-5811
Phone
(718) 886-8830
Fax
(718) 886-8825
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 211188 NY Primary

Addresses

Primary practice location

13360 41St Ave FL 3
Flushing, NY 11355-5811

Mailing address

13360 41St Ave FL 3
Flushing, NY 11355-5811
Phone (718) 886-8830

Other identifiers 11

IdentifierTypeStateIssuer
02063789MedicaidNY
5666435OtherNYFIRST HEALTH
7150121OtherNYAETNA PPO
23672OtherNYHIP
107851OtherNYGHI HMO
0498119OtherNYGHI
500B31OtherNYEMPIRE BLUE CROSS
1065899OtherNYAETNA HMO
4330818OtherNYCIGNA
P2208239OtherNYOXFORD
3C7946OtherNYHEALTH NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050502001355 NY Practitioner - Ophthalmology 0345289898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Consultant, PLLCGroup PAC ID 1052533064, 2 clinicians

Practice addresses (Care Compare)

13443 Maple Ave
Suite C
Flushing, NY 11355-4596
Phone (718) 886-8830

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211188NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultant, PLLC Ophthalmology CurrentSince Jul 9, 2012 Accepting new patients
Eyecare by Ophthalmologist, PLLC Ophthalmology CurrentSince Jul 23, 2004 Accepting new patients
New York University Past Accepting new patients
Cheryl S Kaufmann MDPC Ophthalmology PastSince Jun 1, 2011 Accepting new patients

Locations

3808 Union St
Ste 4E
Flushing, NY 11354
Phone (718) 321-8222

13443 Maple Ave
Ste C
Flushing, NY 11355
Phone (718) 886-8830

13443 Maple Ave
Ste 1C
Flushing, NY 11355
Phone (718) 321-8222

755 New York Ave
Ste 307
Huntington, NY 11743
Phone (631) 385-8885

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: ttchu@eyecaremd.direct.eyemdemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548356454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13360 41ST AVE FL 3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555811",
            "telephone_number": "718-886-8830",
            "fax_number": "718-886-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13360 41ST AVE FL 3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555811",
            "telephone_number": "718-886-8830",
            "fax_number": "718-886-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "TUNG",
        "middle_name": "TAMMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "211188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02063789",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5666435",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7150121",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "23672",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "107851",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0498119",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "500B31",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1065899",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4330818",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2208239",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "3C7946",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.