Individual provider Active NPI

James S Chung, M.D.

  • Diagnostic Radiology Physician
  • Rochester, NY
National Provider Identifier
1851380026
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
220852 Issued in NY
Practice address
1561 Long Pond Rd
Rochester, NY 14626-4117
Phone
(585) 241-6400
Fax
(585) 241-6505
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 220852 NY Primary

Addresses

Primary practice location

1561 Long Pond Rd
Rochester, NY 14626-4117

Mailing address

2263 S Clinton Ave
Rochester, NY 14618-2623
Phone (585) 241-6400

Other identifiers 1

IdentifierTypeStateIssuer
02280968MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050615000587 NY Practitioner - Diagnostic Radiology 9537103015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Borg and Ide Imaging PCGroup PAC ID 9931012960, 14 clinicians

Practice addresses (Care Compare)

995 Senator Keating Blvd
BLDG 3
Rochester, NY 14618-2775
Phone (585) 241-6600

Merit-based Incentive Payment System (MIPS)

Final score
93.14 of 100Reported as group
Quality
85
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Borg & Ide Imaging, PC Diagnostic Radiology CurrentSince Aug 1, 2005 Accepting new patients

Locations

27037 Network Pl
Chicago, IL 60673

1160 Pittsford Victor Rd
Ste D2
Pittsford, NY 14534
Phone (585) 218-8007

1 Saredon Pl
Ste 200
Rochester, NY 14606
Phone (585) 225-5735

2263 S Clinton Ave
Rochester, NY 14618

995 Senator Keating Blvd
#B
Rochester, NY 14618

995 Senator Keating Blvd
Bldg 3
Rochester, NY 14618
Phone (585) 241-6600

Organizations & group practices 1

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1851380026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182623",
            "telephone_number": "585-241-6400",
            "fax_number": "585-241-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 LONG POND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264117",
            "telephone_number": "585-241-6400",
            "fax_number": "585-241-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JAMES",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "220852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02280968",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.