Individual provider Active NPI

William Siao-Ping Tung, M.D.

  • Vascular Surgery Physician
  • Salem, VA
National Provider Identifier
1578596938
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
0101253975 Issued in VA
Practice address
1802 Braeburn Dr
Salem, VA 24153-7357
Phone
(540) 776-2010
Fax
(540) 725-5016
NPI assigned
Jul 9, 2006
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD430518 PA
Vascular Surgery Physician 2086S0129X 2009020458 MO
Vascular Surgery Physician 2086S0129X 0101253975 VA Primary

Addresses

Primary practice location

1802 Braeburn Dr
Salem, VA 24153-7357

Mailing address

1802 Braeburn Dr
Salem, VA 24153-7357
Phone (540) 776-2010

Other practice location 1

310 Stock St Ste 3
Hanover, PA 17331-2276
Phone (717) 637-1738

Other identifiers 8

IdentifierTypeStateIssuer
1578596938MedicaidMO
639934OtherMOBCBS
1578596938MedicaidIL
179422001MedicaidAR
1578596938MedicaidVA
1019962960001MedicaidPA
992182OtherMOHEALTHLINK
P00410365OtherPAMEDICARE RAILROAD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address WILLIAM.TUNG@hca6.eclinicaldirectplus.com
Direct Messaging Address wtung259757@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070518000412 PA Practitioner - Vascular SurgeryPractitioner - General Surgery 9032107081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Johns Hopkins University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

16324 Mount Airy Rd
Shrewsbury, PA 17361-1623
Phone (717) 849-5576

310 Stock St
Suite 3
Hanover, PA 17331-2276
Phone (717) 637-1738

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.67 of 100Reported as group
Quality
66.8
Promoting interoperability
100
Improvement activities
40
Cost
75.45

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101253975VAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Dec 1, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Dec 1, 2023 Accepting new patients
Pinnacle Health Regional Physicians Vascular Surgery CurrentSince Dec 1, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Dec 1, 2023 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

20 Expedition Trl
Ste 206
Gettysburg, PA 17325
Phone (717) 334-4455

310 Stock St
Ste 3
Hanover, PA 17331

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

16324 Mount Airy Rd
Shrewsbury, PA 17361
Phone (717) 227-3800

1703 Innovation Dr
Ste 4120
York, PA 17408
Phone (717) 632-9263

Interoperability endpoints

  • Direct secure messaging: william.tung@hca6.eclinicaldirectplus.com
  • Direct secure messaging: wtung306104@upmc.direct-ci.com

Organizations & group practices 6

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1578596938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537357",
            "telephone_number": "540-776-2010",
            "fax_number": "540-725-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537357",
            "telephone_number": "540-776-2010",
            "fax_number": "540-725-5016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Stock St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173312276",
            "country_code": "US",
            "telephone_number": "717-637-1738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUNG",
        "first_name": "WILLIAM",
        "middle_name": "SIAO-PING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD430518",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "2009020458",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101253975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578596938",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "639934",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578596938",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179422001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578596938",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019962960001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "992182",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00410365",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WILLIAM.TUNG@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1802 Braeburn Dr",
            "city": "Salem",
            "state": "VA",
            "country_code": "US",
            "postal_code": "241537357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wtung259757@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "310 Stock St Ste 3",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173312276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

Verify at the official NPI Registry.