Individual provider Active NPI

Min Jung, M.D.

  • Pediatrics Physician
  • Frisco, TX
National Provider Identifier
1801201009
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
T7610 Issued in TX
Practice address
4500 Hillcrest Rd Ste 140
Frisco, TX 75035-5419
Phone
(469) 530-9860
Fax
(469) 530-9861
NPI assigned
Jun 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X T7610 TX Primary

Addresses

Primary practice location

4500 Hillcrest Rd Ste 140
Frisco, TX 75035-5419

Mailing address

4500 Hillcrest Rd Ste 140
Frisco, TX 75035-5419
Phone (469) 530-9860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180605001328 CA Practitioner - Pediatric Medicine 9436414844 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T7610TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camarena Health CurrentSince Apr 23, 2018 Accepting new patients
Camarena Health Pediatrics Current Accepting new patients
Camarena Health CurrentSince Apr 23, 2018 Accepting new patients
Min Jung MD PLLC Pediatrics Past Accepting new patients

Locations

344 E 6th St
Madera, CA 93638
Phone (559) 664-4158

124 S A St
Madera, CA 93638
Phone (559) 664-4042

49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724

Organizations & group practices 4

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": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1801201009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 HILLCREST RD STE 140",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355419",
            "telephone_number": "469-530-9860",
            "fax_number": "469-530-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 HILLCREST RD STE 140",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355419",
            "telephone_number": "469-530-9860",
            "fax_number": "469-530-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "MIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T7610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.