Individual provider Active NPI

Hei Jin Chung, MD

  • Vascular Surgery Physician
  • Reston, VA
National Provider Identifier
1821077868
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
0101254253 Issued in VA
Practice address
1860 Town Center Dr Ste 120
Reston, VA 20190-5898
Phone
(858) 295-0501
Fax
(308) 646-6140
NPI assigned
Jan 10, 2006
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD074263L PA
Vascular Surgery Physician 2086S0129X 25MA07293400 NJ
Vascular Surgery Physician 2086S0129X D0107121 MD
Vascular Surgery Physician 2086S0129X 0101254253 VA Primary

Addresses

Primary practice location

1860 Town Center Dr Ste 120
Reston, VA 20190-5898

Mailing address

244 Madison Ave Ste 149
New York, NY 10016-2817
Phone (301) 900-6334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040102000411 NJ Practitioner - Vascular SurgeryPractitioner - General Surgery 9638078223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 Coventry Dr
Phillipsburg, NJ 08865-1971

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal53
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0107121MDMDVascular Surgery Physician
MD074263LPAMDVascular Surgery Physician
0101254253VAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hei Jin Chung,M.D.,P.C. CurrentSince Aug 10, 2001 Accepting new patients
Capital Vein and Pain PC Specialist Past Accepting new patients

Locations

601 Coventry Dr
Phillipsburg, NJ 08865
Phone (908) 589-5676

10 Brass Castle Rd
Washington, NJ 07882
Phone (908) 835-1910

1412 Sullivan Trl
Easton, PA 18040
Phone (610) 258-9081

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1821077868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 MADISON AVE STE 149",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162817",
            "telephone_number": "301-900-6334",
            "fax_number": "301-859-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 120",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905898",
            "telephone_number": "858-295-0501",
            "fax_number": "308-646-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "HEI JIN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD074263L",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA07293400",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0107121",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101254253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.