Individual provider Active NPI

Tae Joon Chung, M.D.

  • Rheumatology Physician
  • Reston, VA
National Provider Identifier
1922118306
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
0101232063 Issued in VA
Practice address
1830 Town Center Dr
Suite 308
Reston, VA 20190-3292
Phone
(703) 668-0700
Fax
(703) 668-0707
NPI assigned
Aug 30, 2006
Last updated
Feb 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 0101232063 VA Primary

Addresses

Primary practice location

1830 Town Center Dr
Suite 308
Reston, VA 20190-3292

Mailing address

1830 Town Center Dr
Suite 308
Reston, VA 20190-3292
Phone (703) 668-0700

Other identifiers 1

IdentifierTypeStateIssuer
P00209343OtherVAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040717000104 DC Practitioner - RheumatologyPractitioner - Internal Medicine 1951380492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Eastern Virginia Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1830 Town Ctr Dr
Suite 308
Reston, VA 20190-3213

1830 Town Ctr Dr
Suite 308
Reston, VA 20190-3217
Phone (703) 668-0700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.61 of 100Reported as individual
Quality
51.21
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tae Joon Chung, MD PC Rheumatology CurrentSince Jul 1, 2004 Accepting new patients

Locations

1830 Town Center Dr
#3
Reston, VA 20190
Phone (703) 668-0700

1830 Town Center Dr
Ste 308
Reston, VA 20190
Phone (703) 668-0700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGJEBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGJEBA/Endpoint/JGJEBA

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1922118306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 TOWN CENTER DR",
            "address_2": "SUITE 308",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903292",
            "telephone_number": "703-668-0700",
            "fax_number": "703-668-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 TOWN CENTER DR",
            "address_2": "SUITE 308",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903292",
            "telephone_number": "703-668-0700",
            "fax_number": "703-668-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "TAE",
        "middle_name": "JOON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101232063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00209343",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.