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DR. DONGJIN SUNG M.D.
NPI 1114231198
Internal Medicine in Gardena, CA

Active since August 02, 2010PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2172564 · Waiver
1740 W GARDENA BLVD, GARDENA, CA 90247(424) 551-3110(844) 272-8062 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2020, Aug 9, 2019, Feb 24, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Dongjin Sung M.d. NPPES

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

DR. DONGJIN SUNG M.D. (NPI 1114231198) is an individual internal medicine provider in Gardena, California, licensed in California (A155831) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through September 24, 2027, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114231198
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DONGJIN SUNGCredential: M.D.
Location Address1740 W GARDENA BLVDGardena, CA 90247-4764
Mailing Address1740 W Gardena BlvdGardena, CA 90247-4764 · (716) 868-9146
Phone(424) 551-3110
Fax(844) 272-8062
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 2, 2010
Last NPPES UpdateMarch 20, 20204 updates tracked since enumeration
NPPES CertifiedMarch 20, 2020
✔ NPI 1114231198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · A155831✔ Licensed in MO · 2012013838✔ Licensed in MD · D79453✔ Licensed in VA · 0101261199
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1740 W GARDENA BLVD, Gardena, CA 90247
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Other Names 1

Other Name (5)Luke Sung

Secondary Practice Locations 2

Location 111116 Medical Campus RdHagerstown, MD 21742-6710 · Phone (716) 868-9146
Location 216020 S WESTERN AVE, STE 101GARDENA, CA 90247-3743 · Phone (424) 551-3110

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dongjin Sung M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032422100
PECOS Enrollment IDI20190425000943
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2172564

Dongjin Sung, MD · Gardena, CA
Active · expires Sep 24, 2027
CLIA Number05D2172564
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorDongjin Sung
Laboratory Phone(424) 551-3110
Laboratory LocationDongjin Sung, MD1740 W Gardena Blvd, Gardena, CA 90247
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
175 services77 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
141 services88 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
132 services62 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
57 services57 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
27 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90247 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers23 claims39 services$5.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EUNJAE SUNG CRNP
Nurse Practitioner (Primary Care)
1740 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (164) 804-3637
MISSION CLINIC, INC A CALIFORNIA ACUPUNCTURE CORPRATION
Acupuncturist
1740 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (714) 319-6400
ST. LUKE MEDICAL ARTS INC
Internal Medicine
1740 W GARDENA BLVD
GARDENA, CA 90247
Los Angeles County (424) 551-3110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dongjin Sung's NPI number?

The NPI number for Dongjin Sung is 1114231198. It was assigned to this individual provider in the NPPES registry on August 2, 2010. The provider is also known as Luke Sung.

Where is Dongjin Sung located?

Dongjin Sung practices at 1740 W Gardena Blvd, Gardena, CA 90247. The listed phone number is (424) 551-3110.

What is Dongjin Sung's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dongjin Sung enrolled in Medicare?

Yes. Dongjin Sung is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Dongjin Sung hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2172564) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dongjin Sung was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.