Mark WR Chung, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4560 Issued in HI

Practice address

40 Aulike St
Suite 412
Kailua, HI 96734

Phone

(808) 262-2424

Fax

(808) 263-4882

NPI assigned

Nov 9, 2006

Last updated

May 20, 2012By the provider in NPPES

Sex

Male

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 3

Medicare fee-for-service enrollment

Enrolled in HI

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

Merit-based Incentive Payment System (MIPS)

Final score

84 of 100Reported as group

Quality

84.73

Promoting interoperability

89

Improvement activities

40

Cost

71.09

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.chung@27886494416900.direct.elationemr.com
• Direct secure messaging: mark.chung@hawaiihie.medicity.net

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.

• Castle Medical Center

  • General Acute Care Hospital
  • Kailua, HI
  • NPI 1316937691
  Medicare reassignment NPD
• Castle Physician Network

  • Internal Medicine Physician
  • Kailua, HI
  • NPI 1043696206

  Family Medicine

  Medicare reassignment NPD
• Castle Medical Center

  dba Adventist Health Castle

  • Community/Retail Pharmacy
  • Kaneohe, HI
  • NPI 1679540264
  NPD
• Castle Medical Center

  dba Castle Primary Care of Kailua

  • Clinic/Center
  • Kailua, HI
  • NPI 1710336011
  NPD
• Castle Physician Network

  dba Urgent Care Hawaii

  • Urgent Care Clinic/Center
  • Kailua, HI
  • NPI 1043974538
  NPD

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337472000000",
    "number": "1972673416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AULIKE ST",
            "address_2": "SUITE 412",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "96734",
            "telephone_number": "808-262-2424",
            "fax_number": "808-263-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AULIKE ST",
            "address_2": "SUITE 412",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "96734",
            "telephone_number": "808-262-2424",
            "fax_number": "808-263-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "MARK",
        "middle_name": "WR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2012-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "4560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01592702",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "17095",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "4560",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bren Matthew Chun, D.D.S.
• Mark Courtney Chun, DMD
• Mitchell Chun
• Norman Samuel Chun, DMD
• Ryan Chun, DMD
• Philip W Chung, MD
• Clara PH Yong MD Inc
• Carolyn Chen Clark, MD
• Gabrielle Clark
• Lauren Patricia Clark, CF-SLP

• Family Medicine Physician in Kailua, HI
• Providers in Kailua, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2012; 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.

Verify at the official NPI Registry.