Active NPI
Christopher L. Chung, M.D.
- Hospitalist Physician
- Wailuku, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD-19436
- Practice address
- 221 Mahalani St
Wailuku, HI 96793-2526 - Phone
- (808) 244-9056
- NPI assigned
- Jun 15, 2015
- Last updated
- Jul 20, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2015017188 | MO | |
| Internal Medicine Physician | 207R00000X | MD-19436 | HI | |
| Hospitalist Physician | 208M00000X | MD-19436 | HI | Primary |
Addresses
Primary practice location
221 Mahalani St
Wailuku, HI 96793-2526
Mailing address
221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, MO, TX, NH, KY, CO, CA, AZ, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Washington University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Spring, TX 77382
Phone (972) 449-0540
San Antonio, TX 78255
Phone (972) 449-0540
43 Pohina St
Unit 1602
Wailuku, HI 96793-3544
Phone (972) 449-0540
810 W Hwy 71
Marble Falls, TX 78654-8602
Phone (972) 449-0540
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015017188 | MO | MD | Internal Medicine Physician |
| MD-19436 | HI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Telecare, PLLC | Internal Medicine | Current | Accepting new patients |
| Hawaii Permanente Medical Group Inc | Current | Accepting new patients | |
| Access Telecare California, P.C. | Internal Medicine | Current | Accepting new patients |
| Maui Health System a Kaiser Foundation Hospitals LLC | Past | Accepting new patients |
Locations
56 Kamehameha Ave
Hilo, HI 96720
Phone (808) 969-7378
3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290
55 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 243-6000
1700 Rainbow Blvd
Exclsor Sprgs, MO 64024
6 Timberwood Dr
Lebanon, NH 03766
1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512
20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
AZ, CO, HI, KY, MO, NH, NV
-
- Health Maintenance Organization
- Honolulu, HI
- NPI 1710945969
-
- Neurology Physician
- Dallas, TX
- NPI 1861959959
CA, HI, Internal Medicine
-
dba Maui Memorial Medical Center
- General Acute Care Hospital
- Wailuku, HI
- NPI 1013379460
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Maui Memorial Medical Center
- General Acute Care Hospital
- Wailuku, HI
- NPI 1013379460
-
dba Baylor Scott & White Medical Center - Marble Falls
- General Acute Care Hospital
- Marble Falls, TX
- NPI 1396138970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1649651712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932526",
"telephone_number": "808-244-9056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932526",
"telephone_number": "808-244-9056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "CHRISTOPHER",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-15",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2015017188",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD-19436",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "HI",
"license": "MD-19436",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "221 Mahalani St",
"city": "Wailuku",
"state": "HI",
"country_code": "US",
"postal_code": "967932526",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.