Individual provider Active NPI

John Lung, M.D.

  • Family Medicine Physician
  • Edinburg, TX
National Provider Identifier
1952534844
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P7802 Issued in TX
Practice address
1901 S 24TH Ave
Edinburg, TX 78539-6533
Phone
(956) 289-7025
Fax
(956) 289-7257
NPI assigned
Aug 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 036131128 IL
Student in an Organized Health Care Education/Training Program 390200000X 57543-20 WI
Family Medicine Physician 207Q00000X P7802 TX Primary

Addresses

Primary practice location

1901 S 24TH Ave
Edinburg, TX 78539-6533

Mailing address

1901 S 24TH Ave
Edinburg, TX 78539-6533
Phone (956) 289-7025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140326000689 TX Practitioner - Family Practice 4284868407 Reassigns benefits to 2 organizations
Practice locations: Mission, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tropical Texas Behavioral Health.Group PAC ID 6608864715, 38 clinicians

Practice addresses (Care Compare)

1901 S 24TH Ave
Edinburg, TX 78539-6533
Phone (956) 289-7000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036131128ILMDStudent in an Organized Health Care Education/Training Program
57543-20WIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Tropical Texas Behavioral Health Family Medicine CurrentSince Mar 29, 2014 Accepting new patients
Tropical Texas Behavioral Health CurrentSince Mar 29, 2014 Accepting new patients
Su Clinica Familiar CurrentSince Jan 4, 2014 Accepting new patients
Tropical Texas Behavioral Health Past Accepting new patients

Locations

1901 S 24th Ave
Edinburg, TX 78539
Phone (956) 289-7025

1706 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 365-6000

Interoperability endpoints

  • Direct secure messaging: tropicaltexasbehavioralhealthpc.johnlung@144493.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1952534844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S 24TH AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396533",
            "telephone_number": "956-289-7025",
            "fax_number": "956-289-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S 24TH AVE",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396533",
            "telephone_number": "956-289-7025",
            "fax_number": "956-289-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNG",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-26",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "036131128",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WI",
            "license": "57543-20",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P7802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.