Active NPI
Philip R Chung, M.D.
- Ophthalmology Physician
- Gainesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0101239485
- Practice address
- 7300 Heritage Village PLZ
Suite 101
Gainesville, VA 20155-3079 - Phone
- (703) 753-4733
- Fax
- (703) 753-2183
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | L7335 | TX | |
| Ophthalmology Physician | 207W00000X | 0101239485 | VA | Primary |
Addresses
Primary practice location
7300 Heritage Village PLZ
Suite 101
Gainesville, VA 20155-3079
Mailing address
7300 Heritage Village PLZ
Suite 101
Gainesville, VA 20155-3079
Phone (703) 753-4733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1675183-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Texas Medical Branch at Galveston, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7300 Heritage Village PLZ
Gainesville, VA 20155-3079
Phone (703) 753-4733
Hospital & facility affiliations
- Uva Health Haymarket Medical Center
- Uva Health Prince William Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.32 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 31.06
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 441 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L7335 | TX | MD | Ophthalmology Physician |
| 0101239485 | VA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gainesville Eye Associates, LLC | Ophthalmology | Current | Accepting new patients |
Locations
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
7300 Heritage Village Plz
#101
Gainesville, VA 20155
Phone (703) 753-4733
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
Interoperability endpoints
- philipchung@gainesvilleeye.direct.eyemdemr.com
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.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Haymarket, VA
- NPI 1124369137
-
- General Acute Care Hospital
- Manassas, VA
- NPI 1417005760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381795200000",
"number": "1902809684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 HERITAGE VILLAGE PLZ",
"address_2": "SUITE 101",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201553079",
"telephone_number": "703-753-4733",
"fax_number": "703-753-2183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 HERITAGE VILLAGE PLZ",
"address_2": "SUITE 101",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201553079",
"telephone_number": "703-753-4733",
"fax_number": "703-753-2183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "PHILIP",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2013-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "L7335",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "VA",
"license": "0101239485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1675183-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.