NPIMap

Individual provider Active NPI

Samantha Seungwon Chung, M.D.

  • Gastroenterology Physician
  • Burien, WA
National Provider Identifier
1851826184
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD6137789 Issued in WA
Practice address
16233 Sylvester Rd SW Ste G20
Burien, WA 98166-3070
Phone
(206) 431-9771
Fax
(206) 431-5484
NPI assigned
Apr 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD6137789 WA Primary

Addresses

Primary practice location

16233 Sylvester Rd SW Ste G20
Burien, WA 98166-3070

Mailing address

16233 Sylvester Rd SW Ste G20
Burien, WA 98166-3070
Phone (206) 431-9771

Other practice location 1

34503 9th Ave S Ste 130
Federal Way, WA 98003-8726
Phone (253) 835-5340

Other identifiers 1

IdentifierTypeStateIssuer
2271883MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address schung827047@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231220000711 WA Practitioner - Gastroenterology 0840640660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Wayne State University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

34503 9TH Ave S
Suite 130
Federal Way, WA 98003-8726
Phone (253) 835-5340

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy32
Upper gastrointestinal (GI) endoscopy for acid reflux52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD6137789WAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Nov 5, 2023 Accepting new patients
Franciscan Medical Group PastSince Nov 5, 2023 Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

16233 Sylvester Rd SW
Ste G20
Burien, WA 98166
Phone (206) 242-2611

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: schung827047@fhsce.catholichealth.net

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 7

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": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1851826184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16233 SYLVESTER RD SW STE G20",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663070",
            "telephone_number": "206-431-9771",
            "fax_number": "206-431-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16233 SYLVESTER RD SW STE G20",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663070",
            "telephone_number": "206-431-9771",
            "fax_number": "206-431-5484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34503 9th Ave S Ste 130",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980038726",
            "country_code": "US",
            "telephone_number": "253-835-5340",
            "fax_number": "253-835-5350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "SAMANTHA",
        "middle_name": "SEUNGWON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD6137789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2271883",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "schung827047@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16233 Sylvester Rd SW Ste G20",
            "city": "Burien",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981663070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.