Active NPI
Barnett Kai Lung Fung, DPM
- Podiatrist
- Chicago, IL
National Provider Identifier
1932104718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016004595
- Practice address
- 2553 W Peterson Ave
Chicago, IL 60659-4019 - Phone
- (773) 784-8807
- Fax
- (773) 784-1056
- NPI assigned
- Jun 17, 2005
- Last updated
- Mar 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016004595 | IL | Primary |
| Foot Surgery Podiatrist | 213ES0131X | 016004595 | IL |
Addresses
Primary practice location
2553 W Peterson Ave
Chicago, IL 60659-4019
Mailing address
2553 W Peterson Ave
Chicago, IL 60659-4019
Phone (773) 784-8807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016004595 | IL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellcare Health PLLC | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269043200000",
"number": "1932104718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2553 W PETERSON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606594019",
"telephone_number": "773-784-8807",
"fax_number": "773-784-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2553 W PETERSON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606594019",
"telephone_number": "773-784-8807",
"fax_number": "773-784-1056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNG",
"first_name": "BARNETT",
"middle_name": "KAI LUNG",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2010-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016004595",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "IL",
"license": "016004595",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.