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SANG HO CHUNG MD
NPI 1417968124
Family Medicine in Jacksonville, FL

Active since August 10, 2006PECOS Enrolled
1200 RIVERPLACE BLVD, SUITE 620, JACKSONVILLE, FL 32207(904) 396-6620(904) 396-6528 Get Directions Write a Review

NPPES record last updated: February 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sang Ho Chung Md NPPES

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

SANG HO CHUNG MD (NPI 1417968124) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (29534) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417968124
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSANG HO CHUNGCredential: MD
Location Address1200 RIVERPLACE BLVD, SUITE 620Jacksonville, FL 32207-9046
Mailing Address1200 Riverplace Blvd, Suite 620Jacksonville, FL 32207-9046 · (904) 396-6620 · Fax (904) 396-6528
Phone(904) 396-6620
Fax(904) 396-6528
Sole ProprietorNo
Enumeration DateAugust 10, 2006
Last NPPES UpdateFebruary 2, 2016
✔ NPI 1417968124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · 29534
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1200 RIVERPLACE BLVD, Jacksonville, FL 32207
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Other Identifiers 3

Medicare UPIND52570
Medicare ID-Type Unspecified15411
Medicaid058902100FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sang Ho 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 32207 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 20

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

TERESA LOUISE COWAN PA-C
Physician Assistant (Medical)
1200 RIVERPLACE BLVD, SUITE 620
JACKSONVILLE, FL 32207
Duval County (904) 396-6620
BINH Q DOAN MD
Internal Medicine
1200 RIVERPLACE BLVD, SUITE 620
JACKSONVILLE, FL 32207
Duval County (904) 396-6620
MS. LEANN ELIZABETH JOHN MS, RD, LDN
Dietitian, Registered
1200 RIVERPLACE BLVD, SUITE 105 #1181
JACKSONVILLE, FL 32207
Duval County (814) 322-5620
TATYANA SOLONSKYI ARNP
Nurse Practitioner
1200 RIVERPLACE BLVD, SUITE 620
JACKSONVILLE, FL 32207
Duval County (904) 396-6620
DR. ELEANOR BHAT SORRESSO MD
Internal Medicine
1200 RIVERPLACE BLVD, #620
JACKSONVILLE, FL 32207
Duval County (904) 396-6620
DR. PATRICIA MARY GILFORD MD
Family Medicine
1200 RIVERPLACE BLVD, SUITE 620
JACKSONVILLE, FL 32207
Duval County (904) 396-6620
DAVID R MOSS M.D.
Psychiatry & Neurology (Psychiatry)
1200 RIVERPLACE BLVD, SUITE: 620
JACKSONVILLE, FL 32207
Duval County (904) 396-6620
DR. JOCELYN AMBER SOTO D.O.
Internal Medicine
1200 RIVERPLACE BLVD, SUITE 620
JACKSONVILLE, FL 32207
Duval County (904) 396-6620

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 Sang Chung's NPI number?

The NPI number for Sang Chung is 1417968124. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Sang Chung located?

Sang Chung practices at 1200 Riverplace Blvd Suite 620, Jacksonville, FL 32207. The listed phone number is (904) 396-6620.

What is Sang Chung's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sang Chung enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sang Chung was last updated on February 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.