Organization Active NPI

Chan K Chung M D P a

  • Radiation Oncology Physician
  • Takoma Park, MD
National Provider Identifier
1831172758
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
D27870 Issued in MD
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

Updated by the provider on Jul 8, 2010

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)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
C31500OtherRR MEDICARE
6567OtherDCDC CAREFIRST
C492CHOtherMDCAREFIRST OF MD
047349000MedicaidDC
364191100MedicaidMD

Other names 1

  • Maryland Radiation Oncology Assoc Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.