Individual provider Active NPI

Andrea K Kung, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1932105582
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A53319 Issued in CA
Practice address
1441 Powell St
San Francisco, CA 94133-3848
Phone
(415) 292-8687
Fax
(415) 292-8666
NPI assigned
Jun 27, 2005
Last updated
Jan 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A53319 CA Primary

Addresses

Primary practice location

1441 Powell St
San Francisco, CA 94133-3848

Mailing address

1441 Powell St
San Francisco, CA 94133-3848

Other names 1

  • Khin Khin Myint Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150604000593 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5193046027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53319CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
On Lok Senior Health Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: akung323643@direct.ochin.org

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1932105582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 POWELL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941333848",
            "fax_number": "415-292-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 POWELL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941333848",
            "telephone_number": "415-292-8687",
            "fax_number": "415-292-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNG",
        "first_name": "ANDREA",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHIN",
            "last_name": "MYINT",
            "middle_name": "KHIN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.