KATHLEEN PHUNG MD
NPI 1023505039
Pediatrics in Flushing, NY

Q: What is Kathleen Phung's NPI number?

The NPI number for Kathleen Phung is 1023505039. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Q: What is Kathleen Phung's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Phung was last updated on June 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 16, 2018PECOS Enrolled

13743 45TH AVE, FLUSHING, NY 11355(929) 362-3006(929) 362-3026 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 28, 2021, Jun 16, 2021, May 9, 2019 and 1 more (4 updates tracked since 2018).

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About Kathleen Phung Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN PHUNG MD (NPI 1023505039) is an individual pediatrics provider in Flushing, New York, licensed in New York (311004) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023505039

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKATHLEEN PHUNGCredential: MD

Location Address13743 45TH AVEFlushing, NY 11355-4048

Mailing Address125 Walker St Fl 2New York, NY 10013-4135 · (212) 226-8866 · Fax (212) 226-2289

Phone(929) 362-3006

Fax(929) 362-3026

Sole ProprietorNo

Enumeration DateApril 16, 2018

Last NPPES UpdateJune 28, 20214 updates tracked since enumeration

NPPES CertifiedJune 17, 2021

✔ NPI 1023505039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 311004

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

13743 45TH AVE, Flushing, NY 11355

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Other Identifiers 1

Other311004NY · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Phung Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.