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THEODORE CHUNG MD
NPI 1306307301
Internal Medicine - Cardiovascular Disease in Jbsa Lackland, TX

Active since March 31, 2019PECOS Enrolled
1100 WILFORD HALL LOOP BLDG 455459, JBSA LACKLAND, TX 78236(210) 266-5609 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2025, Jul 2, 2025, Aug 22, 2023 and 2 more (5 updates tracked since 2022).

About Theodore Chung Md NPPES

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

THEODORE CHUNG MD (NPI 1306307301) is an individual cardiovascular disease provider in Jbsa Lackland, Texas, licensed in Virginia (0101274313) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Sam Houston.

NPPES Registry Identity

NPI1306307301
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameTHEODORE CHUNGCredential: MD
Location Address1100 WILFORD HALL LOOP BLDG 455459Jbsa Lackland, TX 78236-5638
Mailing AddressWilford Hall Ambulatory Surgical Center, 1100 Wilford Hall LoopJbsa Lackland, TX 78236-5315
Phone(210) 266-5609
Sole ProprietorYes
Enumeration DateMarch 31, 2019
Last NPPES UpdateJuly 7, 20255 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1306307301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in VA · 0101274313
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101274313 (VA)
1100 WILFORD HALL LOOP BLDG 455459, Jbsa Lackland, TX 78236
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Secondary Practice Location 1

Location 13551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · Phone (210) 292-5529

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodore Chung 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 78236 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

ADAM JOSEPH JADICK LCSW
General Practice
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 292-5972
ISMAEL PEREZ
Military Health Care Provider
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 292-5972
AMANDA NICOLE NEPHEW
Military Health Care Provider
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 292-5972
ASHTON DESSERT
Student in an Organized Health Care Education/Training Program
1100 WILFORD HALL LOOP BLDG 455459
SAN ANTONIO, TX 78236
Bexar County (210) 292-5188
JUDE EMEGO DO
Student in an Organized Health Care Education/Training Program
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 997-2060
MARIE BLACK
Student in an Organized Health Care Education/Training Program
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 292-5972
MONISHA FAHIM MALEK MD
Pediatrics
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 916-9928
ALYSSA V JOINER
Psychologist (Clinical)
1100 WILFORD HALL LOOP BLDG 455459
JBSA LACKLAND, TX 78236
Bexar County (210) 292-5972

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 Theodore Chung's NPI number?

The NPI number for Theodore Chung is 1306307301. It was assigned to this individual provider in the NPPES registry on March 31, 2019.

Where is Theodore Chung located?

Theodore Chung practices at 1100 Wilford Hall Loop Bldg 455459, Jbsa Lackland, TX 78236. The listed phone number is (210) 266-5609.

What is Theodore Chung's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Theodore Chung enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Theodore Chung was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.