Individual provider Active NPI

Keith H. Tung, MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1801087291
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
244460 Issued in NY
Practice address
1715 E 13TH Street
Brooklyn, NY 11229-1901
Phone
(646) 680-4227
Fax
(718) 943-2570
NPI assigned
Aug 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 244460 NY Primary

Addresses

Primary practice location

1715 E 13TH Street
Brooklyn, NY 11229-1901

Mailing address

55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888

Other practice location 1

1000 Church Ave
Brooklyn, NY 11218-2710
Phone (718) 826-4000

Other practice location 2

195 Montague St
Brooklyn, NY 11201-3628
Phone (718) 422-8000

Other practice location 3

740 64th Street
Brooklyn, NY 11220-4714
Phone (718) 439-2000

Other practice location 4

233 Nostrand Ave
Brooklyn, NY 11205-4924
Phone (718) 826-5900

Other practice location 5

546 Eastern Parkway
Brooklyn, NY 11225-1604
Phone (718) 604-4800

Other identifiers 1

IdentifierTypeStateIssuer
02937240MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090213000365 NY Practitioner - Family Practice 8527123199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York Downstate Medical Center, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

740 64TH St
Brooklyn, NY 11220-4714
Phone (718) 439-2000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Advantagecare Physicians PC CurrentSince Jan 1, 2017 Accepting new patients

Locations

740 64th St
Brooklyn, NY 11220
Phone (718) 439-2000

546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800

3245 Nostrand Ave
Brooklyn, NY 11229
Phone (718) 615-3777

1000 Church Ave
Brooklyn, NY 11218
Phone (718) 826-4000

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

1715 E 13th St
Brooklyn, NY 11229
Phone (718) 526-6300

55 Water St
Fl 2
New York, NY 10041

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ktung13364@direct.acpny.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1801087291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 E 13TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291901",
            "telephone_number": "646-680-4227",
            "fax_number": "718-943-2570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Church Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112182710",
            "country_code": "US",
            "telephone_number": "718-826-4000",
            "fax_number": "718-826-4075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 Montague St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112013628",
            "country_code": "US",
            "telephone_number": "718-422-8000",
            "fax_number": "718-422-8265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 64th Street",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112204714",
            "country_code": "US",
            "telephone_number": "718-439-2000",
            "fax_number": "718-439-2004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "233 Nostrand Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112054924",
            "country_code": "US",
            "telephone_number": "718-826-5900",
            "fax_number": "718-826-5860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "546 Eastern Parkway",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112251604",
            "country_code": "US",
            "telephone_number": "718-604-4800",
            "fax_number": "718-604-4828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUNG",
        "first_name": "KEITH",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "244460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02937240",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.