Organization Active NPI

Careone Internal Medicine

  • Internal Medicine Physician
  • Reston, VA
National Provider Identifier
1922421163
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101232763 Issued in VA
Legal business name
CAREONE INTERNAL MEDICINE
Practice address
11357 Sunset Hills Rd
Reston, VA 20190-5205
Phone
(703) 798-7026
NPI assigned
Jan 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Dr. Chun Hong, MD., PHD.NPI 1003844960
Title
President
Phone
(703) 798-7026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101232763 VA Primary

Addresses

Primary practice location

11357 Sunset Hills Rd
Reston, VA 20190-5205

Mailing address

12019 Heather Down Dr
Herndon, VA 20170-2738
Phone (703) 798-7026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141003001388 DC Part B Supplier - Clinic/Group Practice 9537389093 Receives reassigned benefits from 2 practitioners
Practice locations: Reston, VA

National Provider Directory

National Provider Directory

Locations

1800 Town Center Dr
Ste 416
Reston, VA 20190
Phone (703) 435-5858

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1922421163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12019 HEATHER DOWN DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201702738",
            "telephone_number": "703-798-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11357 SUNSET HILLS RD",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905205",
            "telephone_number": "703-798-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREONE INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "CHUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-798-7026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD., PHD."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101232763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.