Individual provider Active NPI

Eric Kung, M.D.

  • Neurology Physician
  • Stamford, CT
National Provider Identifier
1639262686
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
43855 Issued in CT
Practice address
1 Blachley Rd 2ND FL
Stamford, CT 06902-0003
Phone
(203) 276-4464
Fax
(203) 276-4468
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 43855 CT
Neurology Physician 2084N0400X 43855 CT Primary

Addresses

Primary practice location

1 Blachley Rd 2ND FL
Stamford, CT 06902-0003

Mailing address

1 Blachley Rd 2ND FL
Stamford, CT 06902-0003
Phone (203) 276-4464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20070809000694 CT Practitioner - NeurologyPractitioner - Internal MedicinePractitioner - Pain Management 9931290632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pain Management
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

1 Blachley Rd
Suite 2
Stamford, CT 06902-0003
Phone (203) 276-2277

Hospital & facility affiliations

  • Stamford Hospital Hospital, Stamford, CT, CCN 070006

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43855CTMDPain Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Health Medical Group Inc Internal Medicine CurrentSince Aug 2, 2010 Accepting new patients

Locations

148 East Ave
Norwalk, CT 06851
Phone (203) 838-4886

1 Blachley Rd
Ste 2
Stamford, CT 06902
Phone (203) 276-2277

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

292 Long Ridge Rd
Ste 101
Stamford, CT 06902
Phone (203) 276-7213

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

29 Hospital Plz
Ste 602
Stamford, CT 06902
Phone (203) 276-2451

Interoperability endpoints

  • Direct secure messaging: ekung24296@stamfordhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1639262686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BLACHLEY RD 2ND FL",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069020003",
            "telephone_number": "203-276-4464",
            "fax_number": "203-276-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BLACHLEY RD 2ND FL",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069020003",
            "telephone_number": "203-276-4464",
            "fax_number": "203-276-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNG",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "CT",
            "license": "43855",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "43855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.