Active NPI
Erin A Chung, DO
- Internal Medicine Physician
- Richmond, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34.014241
- Practice address
- 1050 Reid Parkway, Suite 300
Reid Hospital Family Medicine Residency
Richmond, IN 47374 - Phone
- (765) 966-9549
- Fax
- (765) 962-6268
- NPI assigned
- Jun 23, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 11019403A | IN | |
| Internal Medicine Physician | 207R00000X | 34.014241 | OH | Primary |
Addresses
Primary practice location
1050 Reid Parkway, Suite 300
Reid Hospital Family Medicine Residency
Richmond, IN 47374
Mailing address
3170 Kettering Blvd BLDG B3
Moraine, OH 45439-1924
Phone (937) 991-3188
Other practice location 1
3130 N County Road 25A
Troy, OH 45373-1337
Phone (937) 440-4466
Other practice location 2
1 Medical Center Dr
Middletown, OH 45005-2584
Phone (513) 705-4754
Other practice location 3
30 E Apple St Ste Nw3300
Dayton, OH 45409-2939
Phone (937) 208-8394
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0408209 | Medicaid | OH |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| RESTful URL | echung1742859@direct.premierhealth.com | ||
| RESTful URL | echung1742859@direct.premierhealth.com | ||
| RESTful URL | echung1742859@direct.premierhealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200721002178 | OH | Practitioner - Internal Medicine | 9739445149 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mvhe IncSinclair Physician Services, LLC
Practice addresses (Care Compare)
1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8394
2400 Miami Valley Dr
Centerville, OH 45459-4774
Phone (937) 208-8394
2451 Wayne Ave
Dayton, OH 45420-1893
Phone (937) 252-1831
Hospital & facility affiliations
- Miami Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.23 of 100
- Quality
- 83.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hisey Physician Services, LLC | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Sinclair Physician Services, LLC | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Upper Valley Professional Corporation | Internal Medicine | Current | Accepting new patients |
| Miami Valley Hospital | Past | Accepting new patients |
Locations
722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
30 E Apple St
Ste NW3300
Dayton, OH 45409
Phone (937) 208-8394
2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
3170 Kettering Blvd
Bldg B3
Moraine, OH 45439
Phone (937) 991-3188
450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
Organizations & group practices 7
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.
-
- Hospitalist Physician
- Dayton, OH
- NPI 1063289601
Internal Medicine, OH
-
- Hospitalist Physician
- Middletown, OH
- NPI 1073380614
Internal Medicine, OH
-
- Family Medicine Physician
- Troy, OH
- NPI 1407872518
Internal Medicine, OH
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
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": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1922528504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3170 KETTERING BLVD BLDG B3",
"city": "MORAINE",
"state": "OH",
"postal_code": "454391924",
"telephone_number": "937-991-3188",
"fax_number": "937-223-9811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 REID PARKWAY, SUITE 300",
"address_2": "REID HOSPITAL FAMILY MEDICINE RESIDENCY",
"city": "RICHMOND",
"state": "IN",
"postal_code": "47374",
"telephone_number": "765-966-9549",
"fax_number": "765-962-6268"
}
],
"practiceLocations": [
{
"address_1": "3130 N County Road 25A",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "OH",
"postal_code": "453731337",
"country_code": "US",
"telephone_number": "937-440-4466",
"fax_number": "937-641-2780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "OH",
"postal_code": "450052584",
"country_code": "US",
"telephone_number": "513-705-4754",
"fax_number": "937-641-2780",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30 E Apple St Ste Nw3300",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454092939",
"country_code": "US",
"telephone_number": "937-208-8394",
"fax_number": "937-641-2780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUNG",
"first_name": "ERIN",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-23",
"last_updated": "2020-11-05",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11019403A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34.014241",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0408209",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "REST",
"endpointTypeDescription": "RESTful URL",
"endpoint": "echung1742859@direct.premierhealth.com",
"affiliation": "N",
"address_1": "1 Medical Center Dr",
"city": "Middletown",
"state": "OH",
"country_code": "US",
"postal_code": "450052584",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "REST",
"endpointTypeDescription": "RESTful URL",
"endpoint": "echung1742859@direct.premierhealth.com",
"affiliation": "N",
"address_1": "30 E Apple St Ste Nw3300",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454092939",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "REST",
"endpointTypeDescription": "RESTful URL",
"endpoint": "echung1742859@direct.premierhealth.com",
"affiliation": "N",
"address_1": "3130 N County Road 25A",
"city": "Troy",
"state": "OH",
"country_code": "US",
"postal_code": "453731337",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.