Individual provider Active NPI

Michael S Chune, DO, MD

  • Urology Physician
  • Dayton, OH
National Provider Identifier
1669472015
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
34005424 Issued in OH
Practice address
2151 State Route 725 Rd
Dayton, OH 45459-3814
Phone
(937) 985-1220
Fax
(937) 528-2001
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 34005424 OH Primary

Addresses

Primary practice location

2151 State Route 725 Rd
Dayton, OH 45459-3814

Mailing address

7847 Lois Cir Apt 118
Dayton, OH 45459-3694
Phone (937) 602-1121

Other identifiers 2

IdentifierTypeStateIssuer
1669472015OtherOHRAILROAD MEDICARE
0864364MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34005424OHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S. Chune DO Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Organizations & group practices 2

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1669472015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7847 LOIS CIR APT 118",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593694",
            "telephone_number": "937-602-1121",
            "fax_number": "937-528-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 STATE ROUTE 725 RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593814",
            "telephone_number": "937-985-1220",
            "fax_number": "937-528-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNE",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "DO, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "34005424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1669472015",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0864364",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.