KUNG PLASTIC SURGERY, P.A.
NPI 1417973009
Surgery - Plastic and Reconstructive Surgery in Chevy Chase, MD
About Kung Plastic Surgery, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KUNG PLASTIC SURGERY, P.A. (NPI 1417973009) is a healthcare organization registered as a plastic and reconstructive surgery in Chevy Chase, Maryland and active in the NPI registry since July 2006. The organization lists David S. Kung, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kung Plastic Surgery, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kung Plastic Surgery, P.A., which bills Medicare for the services this clinician delivers.
Clinician (1)
Chevy Chase, MD 20815
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kung Plastic Surgery, P.A.'s NPI number?
The NPI number for Kung Plastic Surgery, P.A. is 1417973009. It was assigned to this organization in the NPPES registry on July 15, 2006.
Where is Kung Plastic Surgery, P.A. located?
Kung Plastic Surgery, P.A. is located at 5454 Wisconsin Ave Suite 635, Chevy Chase, MD 20815. The listed phone number is (301) 986-8878.
What is Kung Plastic Surgery, P.A.'s specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Kung Plastic Surgery, P.A. enrolled in Medicare?
Yes. Kung Plastic Surgery, P.A. is registered in the Medicare PECOS enrollment system.
When is Kung Plastic Surgery, P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (District of Columbia, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Kung Plastic Surgery, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Kung Plastic Surgery, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kung Plastic Surgery, P.A. was last updated on September 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Kung Plastic Surgery, P.a. · NPI 1417973009
Plastic and Reconstructive Surgery organization in Chevy Chase, Maryland. Organization record, active in the CMS NPPES registry since July 15, 2006.
## Identity
- **NPI:** 1417973009 (Entity type: Organization)
- **Enumerated:** July 15, 2006
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **Organization subpart:** No
- **Authorized official:** David Kung, PRESIDENT
## Practice location
- **Address:** 5454 WISCONSIN AVE, SUITE 635, Chevy Chase, MD 20815-6901
- **Phone:** (301) 986-8878 · **Fax:** (301) 986-8879
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, District of Columbia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Plastic and Reconstructive Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2008
- **Other identifiers:** Medicare UPIN G76733; Medicare ID-Type Unspecified 490167
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Source: [NPI Profile](https://npiprofile.com/npi/1417973009) · Data from the CMS NPPES public registry.