Individual provider Active NPI

Philip R Chung, M.D.

  • Ophthalmology Physician
  • Gainesville, VA
National Provider Identifier
1902809684
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101239485 Issued in VA
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

Updated by the provider on Oct 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1675183-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060814000170 VA Practitioner - Ophthalmology 7113995473 Reassigns benefits to 1 organization
I20081215000070 DC Practitioner - Ophthalmology 7113995473 Reassigns benefits to 1 organization

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
Gainesville Eye Associates LLCGroup PAC ID 7517025661, 2 clinicians

Practice addresses (Care Compare)

7300 Heritage Village PLZ
Gainesville, VA 20155-3079
Phone (703) 753-4733

Hospital & facility affiliations

  • Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144
  • Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045

Merit-based Incentive Payment System (MIPS)

Final score
79.32 of 100Reported as group
Quality
100
Improvement activities
40
Cost
31.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery441

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L7335TXMDOphthalmology Physician
0101239485VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Eye Associates, LLC Ophthalmology CurrentSince Jul 21, 2008 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.