Active NPI
Chan K Chung M D P a
- Radiation Oncology Physician
- Takoma Park, MD
National Provider Identifier
1831172758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- D27870
- Legal business name
- CHAN K CHUNG M D P A
- Doing business as
- Maryland Radiation Oncology Assoc
- Practice address
- 7600 Carroll Ave
C/O Washington Adventist Hospital
Takoma Park, MD 20912-6367 - Phone
- (301) 891-5100
- Fax
- (301) 891-5423
- NPI assigned
- Nov 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chan K Chung, M.D.
- Title
- President
- Phone
- (301) 891-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | D27870 | MD | Primary |
Addresses
Primary practice location
7600 Carroll Ave
C/O Washington Adventist Hospital
Takoma Park, MD 20912-6367
Mailing address
PO Box 1400
Fairfax, VA 22038-1400
Phone (703) 383-9543
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C31500 | Other | RR MEDICARE | |
| 6567 | Other | DC | DC CAREFIRST |
| C492CH | Other | MD | CAREFIRST OF MD |
| 047349000 | Medicaid | DC | |
| 364191100 | Medicaid | MD |
Other names 1
- Maryland Radiation Oncology Assoc
National Provider Directory
National Provider DirectoryLocations
7600 Carroll Ave
#O
Takoma Park, MD 20912
Phone (301) 891-5100
11490 Commerce Park Dr
#52
Reston, VA 20191
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Cumberland, MD
- NPI 1679555452
-
- Radiation Oncology Physician
- Philadelphia, PA
- NPI 1316920234
-
- Radiation Oncology Physician
- Stanford, CA
- NPI 1578563383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278547200000",
"number": "1831172758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1400",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220381400",
"telephone_number": "703-383-9543",
"fax_number": "703-383-9532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 CARROLL AVE",
"address_2": "C/O WASHINGTON ADVENTIST HOSPITAL",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126367",
"telephone_number": "301-891-5100",
"fax_number": "301-891-5423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAN K CHUNG M D P A",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-23",
"last_updated": "2010-07-08",
"status": "A",
"authorized_official_last_name": "CHUNG",
"authorized_official_first_name": "CHAN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-891-5100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "MD",
"license": "D27870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "C31500",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC CAREFIRST",
"identifier": "6567",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST OF MD",
"identifier": "C492CH",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "047349000",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "364191100",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Maryland Radiation Oncology Assoc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.