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CONNIE Y. CHUNG MD, MS
NPI 1427611789
Psychiatry & Neurology - Neurocritical Care in Salt Lake City, UT

Active since April 22, 2019PECOS EnrolledAccepts Medicare Assignment
175 N MEDICAL DR, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2025, Apr 13, 2023, Apr 22, 2019 (3 updates tracked since 2019).

About Connie Y. Chung Md, Ms NPPES

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

CONNIE Y. CHUNG MD, MS (NPI 1427611789) is an individual neurocritical care provider in Salt Lake City, Utah, licensed in Utah (13356827-1205) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427611789
Entity TypeIndividualFemale
Primary Taxonomy2084A2900X
Provider Legal NameCONNIE Y. CHUNGCredential: MD, MS
Location Address175 N MEDICAL DRSalt Lake City, UT 84112-1103
Mailing Address175 N Medical DrSalt Lake City, UT 84112-1103 · (801) 581-2121
Phone(801) 581-2121
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 22, 2019
Last NPPES UpdateMay 23, 20253 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1427611789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurocritical CareAllopathic & Osteopathic Physicians
Taxonomy Code2084A2900X
License✔ Licensed in UT · 13356827-1205
Definition
The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system.
175 N MEDICAL DR, Salt Lake City, UT 84112
Open in Google Maps ↗

Secondary Practice Locations 2

Location 114445 Olive View DrSylmar, CA 91342-1437 · Phone (747) 210-3000
Location 25171 S Cottonwood St Ste 810Murray, UT 84107-5705 · Phone (801) 507-9800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Connie Y. Chung Md, Ms 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 ID9133584394
PECOS Enrollment IDI20250718003156
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Connie Chung reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
0.2 mi
Neonatal-Perinatal Medicine
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1497473375 (801) 442-5000
St. Vincent Healthcare
333 mi
Primary Care
10 ROBINSON LN
Red Lodge, MT 59068
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: Scl Health Montana
  • 186 clinicians in this Medicare group
NPI 1942241401 (406) 446-3800
Scl Health Medical Group - Billings LLC
349 mi
Rural Health
55 N MONTANA AVE
Absarokee, MT 59001
  • Reassigned Medicare billing, Montana enrollment
  • 438 clinicians in this Medicare group
NPI 1649883539 (406) 328-4497

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 4

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

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

St. George Regional Hospital

Acute Care Hospitals · St George, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460021
Location1380 East Medical Center DriveSt George, UT 84790 · Washington County
Emergency services Birthing friendly

Riverton Hospital

Acute Care Hospitals · Riverton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460058
Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County
Emergency services Birthing friendly

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.

CHRISTOPHER GLENN TAYLOR DNP-FNP
Nurse Practitioner (Family)
175 N MEDICAL DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 585-7575
CRAIG J KILBURG MD
Neurological Surgery
175 N MEDICAL DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 585-6065
MACKENZIE LYNN MONTERO MD
Student in an Organized Health Care Education/Training Program
175 N MEDICAL DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 585-5405
WILLIAM TUPPER COULDWELL MD
Neurological Surgery
175 N MEDICAL DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 585-6065
RAMESH GRANDHI M.D.
Neurological Surgery
175 N MEDICAL DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 585-7575
AMELIA WILSON PT,DPT
Physical Therapist
175 N MEDICAL DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 585-0893
DR. ROXANA BAHANI DO
Psychiatry & Neurology (Neurology)
175 N MEDICAL DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 585-6387
MRS. CASSIE KUHN DNP, APRN, FNP-BC
Nurse Practitioner
175 N MEDICAL DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 585-7575

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 Connie Chung's NPI number?

The NPI number for Connie Chung is 1427611789. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Connie Chung located?

Connie Chung practices at 175 N Medical Dr, Salt Lake City, UT 84112. The listed phone number is (801) 581-2121.

What is Connie Chung's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurocritical Care, with taxonomy code 2084A2900X.

Is Connie Chung enrolled in Medicare?

Yes. Connie Chung is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Connie Chung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connie Chung reassigns Medicare benefits to 3 organizations: Ihc Health Services Inc (Salt Lake City, UT), St. Vincent Healthcare (Red Lodge, MT) and Scl Health Medical Group - Billings LLC (Absarokee, MT). Each 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 Connie Chung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Connie Chung accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and UnitedHealthcare list Connie Chung as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Connie Chung affiliated with any hospitals?

According to CMS data, Connie Chung is affiliated with Mckay-Dee Hospital, Intermountain Medical Center, St. George Regional Hospital and Riverton Hospital.

When was this NPI record last updated?

The NPPES record for Connie Chung was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.