Clara K Chung I, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

16114 Issued in AL

Practice address

3125 Independence Dr
Suite 210
Birmingham, AL 35209-4159

Phone

(205) 943-1197

NPI assigned

Feb 3, 2006

Last updated

Mar 2, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Birmingham Allergy & Asthma Specialists, PC

  • Allergy & Immunology Physician
  • Birmingham, AL
  • NPI 1326076100
  Medicare reassignment NPD
• Premier Allergist of Florida LLC

  • Allergy & Immunology Physician
  • Birmingham, AL
  • NPI 1386596245
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1972575918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 INDEPENDENCE DR",
            "address_2": "SUITE 210",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094159",
            "telephone_number": "205-943-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 INDEPENDENCE DR",
            "address_2": "SUITE 210",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094159",
            "telephone_number": "205-943-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "CLARA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "16114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009982440",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51537273",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel I-Hsin Chu, M.D.
• Jeremiah Chu
• Jessie Chu, D.M.D
• Joy Chuang, O.D.
• Sumant Chugh
• Edward Hun Chung, DO
• Sua Hope Chung
• Robyn Chunn
• Casey Church, OTR/L
• Thomas Brent Church, D.M.D.

• Specialist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.