ANNISE KIEU CHUNG DO
NPI 1417299348
Internal Medicine - Nephrology in Charlotte, NC

Q: What is Annise Chung's NPI number?

The NPI number for Annise Chung is 1417299348. It was assigned to this individual provider in the NPPES registry on March 18, 2013.

Q: What is Annise Chung's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Annise Chung was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 18, 2013PECOS EnrolledAccepts Medicare Assignment

3158 FREEDOM DR STE 3101, CHARLOTTE, NC 28208(704) 348-2992(704) 334-3061 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2025, Jul 15, 2024, Mar 29, 2021 and 2 more (5 updates tracked since 2016).

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About Annise Kieu Chung Do NPPES

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

ANNISE KIEU CHUNG DO (NPI 1417299348) is an individual nephrology provider in Charlotte, North Carolina, licensed in North Carolina (2023-00627) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1417299348

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameANNISE KIEU CHUNGCredential: DO

Location Address3158 FREEDOM DR STE 3101Charlotte, NC 28208-0014

Mailing Address3158 Freedom Dr Ste 3102Charlotte, NC 28208-0014 · (704) 971-7099 · Fax (704) 971-0035

Phone(704) 348-2992

Fax(704) 334-3061

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2013

Enumeration DateMarch 18, 2013

Last NPPES UpdateMay 2, 20255 updates tracked since enumeration

NPPES CertifiedApril 30, 2025

✔ NPI 1417299348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NC · 2023-00627

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2023-00627 (NC)

Also ListedHospitalistTaxonomy 208M00000X · License 2023-00627 (NC)

3158 FREEDOM DR STE 3101, Charlotte, NC 28208

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Secondary Practice Locations 7

Location 17903 Providence Rd Ste 110Charlotte, NC 28277-8300 · Phone (704) 248-5101 · Fax (704) 248-5120

Location 21000 Healing WayMatthews, NC 28104-4969 · Phone (980) 993-2240

Location 31000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-0720

Location 42001 Vail AveCharlotte, NC 28207-1248 · Phone (704) 304-6070

Location 58800 N Tryon StCharlotte, NC 28262-3300 · Phone (704) 863-6241

Location 6433 Copperfield Blvd NEConcord, NC 28025-2405 · Phone (704) 786-7770 · Fax (704) 788-9351

Location 710628 Park RdCharlotte, NC 28210-8407 · Phone (704) 667-7070

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and more.Insurance ›

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

Annise Kieu Chung Do 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 ID6800128885

PECOS Enrollment IDI20230920003456, I20250401001980

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.

Areas of Expertise CMS Part B claims 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

115 services108 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

34 services34 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

14 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28208 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

ADIT S MAHALE MD

Internal Medicine (Nephrology)