Organization Active NPI

Hing-Sheung Eugene Fung MD PA

  • Rheumatology Physician
  • Waco, TX
National Provider Identifier
1669654497
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
J1249 Issued in TX
Legal business name
HING-SHEUNG EUGENE FUNG MD PA
Practice address
2911 Herring Ave
Suite 306
Waco, TX 76708-3245
Phone
(254) 755-4582
Fax
(254) 755-4585
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Hing-Sheung Eugene Fung, MDNPI 1073624292
Title
Physician
Phone
(254) 755-4582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X J1249 TX Primary

Addresses

Primary practice location

2911 Herring Ave
Suite 306
Waco, TX 76708-3245

Mailing address

2911 Herring Ave
Suite 306
Waco, TX 76708-3245
Phone (254) 755-4582

Other identifiers 3

IdentifierTypeStateIssuer
00291UOtherTXREINSTATED MEDICARE GROUP#
J1249OtherTXTXB LICENSE
A0082541OtherTXDPS #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080502000457 TX Part B Supplier - Clinic/Group Practice 5799864666 Receives reassigned benefits from 2 practitioners
Practice locations: Waco, TX

National Provider Directory

National Provider Directory

Locations

2911 Herring Ave
Ste 306
Waco, TX 76708
Phone (254) 202-4655

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1669654497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 HERRING AVE",
            "address_2": "SUITE 306",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083245",
            "telephone_number": "254-755-4582",
            "fax_number": "254-755-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 HERRING AVE",
            "address_2": "SUITE 306",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083245",
            "telephone_number": "254-755-4582",
            "fax_number": "254-755-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HING-SHEUNG EUGENE FUNG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FUNG",
        "authorized_official_first_name": "HING-SHEUNG",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "254-755-4582",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "J1249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REINSTATED MEDICARE GROUP#",
            "identifier": "00291U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TXB LICENSE",
            "identifier": "J1249",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS #",
            "identifier": "A0082541",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.