Individual provider Active NPI

Andrew Chung, M.D.

  • Ophthalmology Physician
  • Lihue, HI
National Provider Identifier
1881936375
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD-24376 Issued in HI
Practice address
4368 Kukui Grove St Ste 102
Lihue, HI 96766-1674
Phone
(808) 245-8765
Fax
(808) 245-8816
NPI assigned
Mar 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD-24376 HI Primary

Addresses

Primary practice location

4368 Kukui Grove St Ste 102
Lihue, HI 96766-1674

Mailing address

4368 Kukui Grove St Ste 102
Lihue, HI 96766-1674
Phone (808) 245-8765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20240910001613 HI Practitioner - Ophthalmology 5991939357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Janie H Yoo MD LLCGroup PAC ID 9739598228, 3 clinicians

Practice addresses (Care Compare)

4368 Kukui Grove St
Suite 102
Lihue, HI 96766-2033
Phone (808) 245-8765

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
94
Promoting interoperability
92
Improvement activities
40
Cost
65.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery182

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Janie H Yoo MD LLC Ophthalmology CurrentSince Sep 30, 2024 Accepting new patients

Locations

4368 Kukui Grove St
Ste 102
Lihue, HI 96766
Phone (808) 245-8765

4368 Kukui Grove St
Lihue, HI 96766
Phone (808) 245-8765

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1881936375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4368 KUKUI GROVE ST STE 102",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661674",
            "telephone_number": "808-245-8765",
            "fax_number": "808-245-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4368 KUKUI GROVE ST STE 102",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661674",
            "telephone_number": "808-245-8765",
            "fax_number": "808-245-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-22",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD-24376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.