MICHAEL T CHUNG M.D.
NPI 1225456692
Surgery - Plastic and Reconstructive Surgery in Boston, MA

Active since April 02, 2014PECOS Enrolled

NPPES record last updated: April 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2026, Aug 2, 2024, Sep 17, 2022 (3 updates tracked since 2022).

About Michael T Chung M.d. NPPES

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

MICHAEL T CHUNG M.D. (NPI 1225456692) is an individual plastic and reconstructive surgery provider in Boston, Massachusetts, licensed in Massachusetts (1021860) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of University Of Kentucky College Of Medicine (2014).

NPPES Registry Identity

NPI1225456692
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameMICHAEL T CHUNGCredential: M.D.
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address7703 Floyd Curl Dr # Mc7844San Antonio, TX 78229-3901
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2014
Enumeration DateApril 2, 2014
Last NPPES UpdateApril 26, 20263 updates tracked since enumeration
NPPES CertifiedApril 26, 2026
NPI 1225456692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses Licensed in MA · 1021860 Licensed in TX · BP10082298
Definition
A surgeon who specializes in plastic and reconstructive surgery.
55 FRUIT ST, Boston, MA 02114

Secondary Practice Location 1

Location 17703 Floyd Curl Dr # Mc7844San Antonio, TX 78229-3901 · Phone (210) 567-2457

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael T Chung M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527434489
PECOS Enrollment IDI20260508003722
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.

Other Providers at the Same Location NPPES 20

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

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114

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 Michael Chung's NPI number?

The NPI number for Michael Chung is 1225456692. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Michael Chung located?

Michael Chung practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-8554.

What is Michael Chung's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Michael Chung enrolled in Medicare?

Yes. Michael Chung is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Chung was last updated on April 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.