Individual provider Active NPI

Chang-Kun Charles Choi, D.O.

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1760577241
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
286086 Issued in AZ
Practice address
5301 E Grant Rd
Tucson, AZ 85712-2805
Phone
(520) 324-5664
Fax
(520) 324-4156
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4476 AZ
Pulmonary Disease Physician 207RP1001X 4476 AZ
Sleep Medicine (Internal Medicine) Physician 207RS0012X 4476 AZ
Internal Medicine Physician 207R00000X 286086 AZ Primary

Addresses

Primary practice location

5301 E Grant Rd
Tucson, AZ 85712-2805

Mailing address

PO Box 31235
Tucson, AZ 85751-1235
Phone (520) 324-5664

Other practice location 1

1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone (505) 724-6124

Other identifiers 1

IdentifierTypeStateIssuer
149619MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070625000569 AZ Practitioner - Pulmonary DiseasePractitioner - Sleep MedicinePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 4587763008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Midwestern University College of Dental Medicine, Glendale, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TmconeGroup PAC ID 9234604877, 60 clinicians
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

2611 N Warren Ave
Tucson, AZ 85719-3160
Phone (520) 795-9574

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-2308

603 N Wilmot Rd
Suite 151
Tucson, AZ 85711-2701
Phone (520) 420-2560

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • Benson Hospital Hospital, Benson, AZ, CCN 031301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
286086AZMDInternal Medicine Physician
4476AZMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choi Services PLLC Pulmonary Disease CurrentSince Sep 22, 2023 Accepting new patients
TMC Medical Network CurrentSince Jan 1, 2020 Accepting new patients
Privia Medical Group Arizona, LLC Internal Medicine Past Accepting new patients
City of Hope Medical Group of Arizona LLC Internal Medicine PastSince Nov 1, 2008 Accepting new patients
Central Arizona Medical Associates PC Pulmonary Disease Past Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

2611 N Warren Ave
Tucson, AZ 85719
Phone (520) 795-9574

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

10390 N La Canada Dr
Ste 110
Tucson, AZ 85737
Phone (520) 420-2110

1951 N Wilmot Rd
Tucson, AZ 85712
Phone (520) 546-8920

1951 N Wilmot Rd
Bldg 4
Tucson, AZ 85712
Phone (520) 318-1114

1951 N Wilmot Rd
Ste 4
Tucson, AZ 85712
Phone (520) 318-1114

2840 E Skyline Dr
Ste 230
Tucson, AZ 85718
Phone (520) 324-1214

2141 N Beverly Ave
Ste 101
Tucson, AZ 85712
Phone (520) 324-6290

1951 N Wilmot Rd
Ste 1
Tucson, AZ 85712
Phone (520) 722-3210

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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 2

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1760577241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31235",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511235",
            "telephone_number": "520-324-5664",
            "fax_number": "520-324-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122805",
            "telephone_number": "520-324-5664",
            "fax_number": "520-324-4156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Central Ave SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871064930",
            "country_code": "US",
            "telephone_number": "505-724-6124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "CHANG-KUN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "4476",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "4476",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AZ",
            "license": "4476",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "286086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149619",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.