Individual provider Active NPI

Yu-Chen Jennie Chung, MD

  • Pediatrics Physician
  • McKinney, TX
National Provider Identifier
1851582035
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N9189 Issued in TX
Practice address
1400 N. Coit Rd
Suite 704
McKinney, TX 75071
Phone
(972) 325-6366
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X BP10029674 TX
Pediatrics Physician 208000000X N9189 TX Primary

Addresses

Primary practice location

1400 N. Coit Rd
Suite 704
McKinney, TX 75071

Mailing address

PO Box 952
Frisco, TX 75034-0016

Other identifiers 1

IdentifierTypeStateIssuer
4661832184OtherMYUTMB 4661832184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20120216000201 AZ Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7113185455

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10029674TXMDPediatrics Physician
N9189TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Bun Pediatrics Pediatrics CurrentSince May 25, 2021 Accepting new patients

Locations

1400 N Coit Rd
Ste 704
McKinney, TX 75071
Phone (972) 325-6366

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1851582035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N. COIT RD",
            "address_2": "SUITE 704",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75071",
            "telephone_number": "972-325-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "YU-CHEN",
        "middle_name": "JENNIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP10029674",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N9189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 4661832184",
            "identifier": "4661832184",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.