Individual provider Active NPI

Vinh Quoc Chung, MD, MTH, MPHARMSCI

  • MOHS-Micrographic Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1730364167
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
47200 Issued in CO
Practice address
9348 Grand Cordera Pkwy
Ste 160
Colorado Springs, CO 80924-7001
Phone
(719) 355-1585
Fax
(719) 623-2983
NPI assigned
Jan 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 47200 CO
Procedural Dermatology Physician 207NS0135X 47200 CO
MOHS-Micrographic Surgery Physician 207ND0101X 47200 CO Primary

Addresses

Primary practice location

9348 Grand Cordera Pkwy
Ste 160
Colorado Springs, CO 80924-7001

Mailing address

9348 Grand Cordera Pkwy
Ste 160
Colorado Springs, CO 80924-7001
Phone (719) 355-1585

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vanguardmedicalspecialists@direct.vanguardmed.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20090616000800 CO Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 5890845648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Harvard Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9348 Grand Cordera Pkwy
Suite 160
Colorado Springs, CO 80924-7023
Phone (719) 355-1585

Merit-based Incentive Payment System (MIPS)

Final score
87.69 of 100Reported as group
Quality
86.72
Promoting interoperability
100
Improvement activities
40
Cost
72.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision69
Removal of skin lesions365
Removal of skin cancer1398
Skin biopsy229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47200COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanguard Medical Specialists, LLC Dermatology CurrentSince May 12, 2009 Accepting new patients
Vanguard Medical Specialists, LLC Dermatology CurrentSince May 12, 2009 Accepting new patients
Vanguard Medical Specialists LLC Dermatology Past Accepting new patients
Vanguard Medical Specialists LLC Dermatology Past Accepting new patients
Vanguard Medical Specialists LLC Dermatology Past Accepting new patients
Vanguard Medical Specialists LLC Dermatology Past Accepting new patients
Vanguard Medical Specialists LLC Dermatology Past Accepting new patients
Vanguard Medical Specialists, LLC Dermatology Past Accepting new patients
Vanguard Medical Specialists LLC Dermatology Past Accepting new patients
Vanguard Medical Specialists LLC Dermatology Past Accepting new patients

Locations

109 Latigo Ln
Ste F
Canon City, CO 81212

1175 S Perry St
Ste 220
Castle Rock, CO 80104
Phone (303) 688-5025

2620 Tenderfoot Hill St
Ste 110
Colorado Springs, CO 80906

6215 Corporate Dr
Ste 101
Colorado Springs, CO 80919

9348 Grand Cordera Pkwy
Ste 160
Colorado Springs, CO 80924

13492 Bass Pro Dr
Ste 100
Colorado Springs, CO 80921

1100 Carson Ave
La Junta, CO 81050
Phone (719) 383-6000

5700 N Elizabeth St
Pueblo, CO 81008
Phone (719) 543-1111

5700 N Elizabeth St
Ste 160
Pueblo, CO 81008

41 State Highway 67
Unit B
Woodland Park, CO 80863

Interoperability endpoints

  • Direct secure messaging: vinh.chung@direct.vanguardmed.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1730364167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9348 GRAND CORDERA PKWY",
            "address_2": "STE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247001",
            "telephone_number": "719-355-1585",
            "fax_number": "719-623-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9348 GRAND CORDERA PKWY",
            "address_2": "STE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247001",
            "telephone_number": "719-355-1585",
            "fax_number": "719-623-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "VINH",
        "middle_name": "QUOC",
        "name_prefix": "Dr.",
        "credential": "MD, MTH, MPHARMSCI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-03",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "47200",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CO",
            "license": "47200",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CO",
            "license": "47200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vanguardmedicalspecialists@direct.vanguardmed.nextgenshare.com",
            "affiliation": "N",
            "address_1": "9348 Grand Cordera Pkwy Ste 160",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809247023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.