Individual provider Active NPI

Jennifer Chung, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Blue Ash, OH
National Provider Identifier
1841498722
Registry record updated Sep 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35.121576 Issued in OH
Practice address
9250 Blue Ash Rd
Blue Ash, OH 45242-6822
Phone
(513) 792-7445
Fax
(513) 791-4042
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 268967 NY
Physical Medicine & Rehabilitation Physician 208100000X 46125 KY
Student in an Organized Health Care Education/Training Program 390200000X 209100000X PA
Physical Medicine & Rehabilitation Physician 208100000X 35.121576 OH Primary

Addresses

Primary practice location

9250 Blue Ash Rd
Blue Ash, OH 45242-6822

Mailing address

237 William Howard Taft Rd
2ND FL, Cbo2-3, Attn: Credentialing
Cincinnati, OH 45219-2610
Phone (513) 792-7441

Other identifiers 8

IdentifierTypeStateIssuer
94269OtherOHMEDICAID
7100275100OtherKYMEDICAID
898704OtherOHANTHEM
K165100OtherKYMEDICARE
H249981OtherOHMEDICARE
CS1435100163OtherOHCARESOURCE
50077938OtherOHPASSPORT HEALTH
1062846OtherKYWELLCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140129002078 OH Practitioner - Physical Medicine and Rehabilitation 0042447880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Medical College of Pennsylvania, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians
Christ Hospital Orthopedic Associates LLCGroup PAC ID 1456477355, 30 clinicians

Practice addresses (Care Compare)

580 Buttermilk Pike
Crescent Springs, KY 41017-1635
Phone (859) 341-6654

7567 Central Parke Blvd
Mason, OH 45040-6852

9250 Blue Ash Rd
Blue Ash, OH 45242-6822
Phone (513) 792-7554

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.4 of 100Reported as group
Quality
86.85
Promoting interoperability
100
Improvement activities
40
Cost
67.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
268967NYMDPhysical Medicine & Rehabilitation Physician
209100000XPAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Hospital Orthopedic Associates III LLC Past Accepting new patients

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.

Hospital & facility affiliations 4

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506038400000",
    "number": "1841498722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 WILLIAM HOWARD TAFT RD",
            "address_2": "2ND FL, CBO2-3, ATTN: CREDENTIALING",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192610",
            "telephone_number": "513-792-7441",
            "fax_number": "513-791-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 BLUE ASH RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426822",
            "telephone_number": "513-792-7445",
            "fax_number": "513-791-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2017-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "268967",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "46125",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "209100000X",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35.121576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "94269",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "7100275100",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "898704",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K165100",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H249981",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "CS1435100163",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH",
            "identifier": "50077938",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1062846",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.