Daniel Chung

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD459954 Issued in PA

Practice address

2230 Cottman Ave
Philadelphia, PA 19149-1230

Phone

(215) 955-7190

NPI assigned

Mar 31, 2014

Last updated

Oct 28, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Family Practice

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City of PhiladelphiaGroup PAC ID 6305758723, 86 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.chung@pdphahs.eclinicaldirectplus.com

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.

• City of Philadelphia

  dba Health Care Center 2

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1942317094
  Medicare reassignment Care Compare group NPD
• City of Philadelphia

  dba Health Care Center 4

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1144337189
  NPD
• City of Philadelphia

  dba Phila Health Dept Laboratory

  • Clinical Medical Laboratory
  • Phila, PA
  • NPI 1689688798
  NPD
• City of Philadelphia

  dba Health Care Center 9

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1427165307
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1891113585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491230",
            "telephone_number": "215-955-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD459954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin Chung, MD
• CHI Tai Chung, MD
• Chieh-Yu Chung
• Christna Lee Chung, MD
• Chun-Hsi Chung, D.M.D.
• Emma Chung, MD
• Ester Chung, RN
• Grace Chung, CRNP
• Haeim Chung, DMD
• Hoon Ho Chung, MD

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.