Active NPI
Michael W Fung, MD
- Ophthalmology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD434338
- Practice address
- 700 Spruce St
Suite 100
Philadelphia, PA 19106-4022 - Phone
- (215) 829-5311
- Fax
- (215) 829-3091
- NPI assigned
- May 21, 2007
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116016269 | VA | |
| Ophthalmology Physician | 207W00000X | 49519 | MN | |
| Ophthalmology Physician | 207W00000X | MD434338 | PA | Primary |
Addresses
Primary practice location
700 Spruce St
Suite 100
Philadelphia, PA 19106-4022
Mailing address
700 Spruce St
Suite 100
Philadelphia, PA 19106-4022
Phone (215) 829-5311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 Spruce St
Suite 100
Philadelphia, PA 19106-4023
Phone (215) 829-5311
Hospital & facility affiliations
- Pennsylvania Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.17 of 100
- Quality
- 90.48
- Improvement activities
- 40
- Cost
- 73.25
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 189 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49519 | MN | MD | Ophthalmology Physician |
| MD434338 | PA | MD | Ophthalmology Physician |
| 0116016269 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Society Hill Ophthalmic Associates PC | Ophthalmology | Current | Accepting new patients |
Locations
700 Spruce St
Ste 100
Philadelphia, PA 19106
Phone (215) 829-5311
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Phila, PA
- NPI 1184637670
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phila, PA
- NPI 1063489342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1760690804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SPRUCE ST",
"address_2": "SUITE 100",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191064022",
"telephone_number": "215-829-5311",
"fax_number": "215-829-3091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SPRUCE ST",
"address_2": "SUITE 100",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191064022",
"telephone_number": "215-829-5311",
"fax_number": "215-829-3091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNG",
"first_name": "MICHAEL",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116016269",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MN",
"license": "49519",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD434338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.