DR. KENISHA NATALIE CAMPBELL CHUNG MD
NPI 1487661740
Pediatrics - Adolescent Medicine in Seattle, WA
About Dr. Kenisha Natalie Campbell Chung Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENISHA NATALIE CAMPBELL CHUNG MD (NPI 1487661740) is an individual adolescent medicine provider in Seattle, Washington, licensed in Washington (MD61265605) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kenisha Natalie Campbell Chung Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kenisha Campbell Chung reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Seattle, WA 98105
- Reassigned Medicare billing, Washington enrollment
- 1,443 clinicians in this Medicare group
Seattle, WA 98105
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Seattle Childrens Hospital
- 912 clinicians in this Medicare group
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- 4,364 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SEATTLE, WA 98195
SEATTLE, WA 98195
SEATTLE, WA 98195
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 Kenisha Campbell Chung's NPI number?
The NPI number for Kenisha Campbell Chung is 1487661740. It was assigned to this individual provider in the NPPES registry on August 1, 2006.
Where is Kenisha Campbell Chung located?
Kenisha Campbell Chung practices at 1959 NE Pacific St., Seattle, WA 98195. The listed phone number is (206) 520-5000.
What is Kenisha Campbell Chung's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.
Is Kenisha Campbell Chung enrolled in Medicare?
Yes. Kenisha Campbell Chung is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kenisha Campbell Chung's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenisha Campbell Chung reassigns Medicare benefits to 3 organizations: The Association Of Chrmc And University Physicians (Seattle, WA), Seattle Children's Hospital (Seattle, WA) and The Association Of University Physicians (Seattle, WA). 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 Kenisha Campbell Chung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenisha Campbell Chung accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kenisha Campbell 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.
When was this NPI record last updated?
The NPPES record for Kenisha Campbell Chung was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.
# Dr. Kenisha Natalie Campbell Chung, MD · NPI 1487661740
Adolescent Medicine physician in Seattle, Washington. Individual provider, active in the CMS NPPES registry since August 1, 2006.
## Identity
- **NPI:** 1487661740 (Entity type: Individual)
- **Enumerated:** August 1, 2006
- **Primary specialty:** Pediatrics - Adolescent Medicine · taxonomy 2080A0000X
- **State license:** MD61265605 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1959 NE PACIFIC ST., Seattle, WA 98195-0001
- **Phone:** (206) 520-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Association Of Chrmc And University Physicians (NPI 1255449963, Seattle, WA); Seattle Children's Hospital (NPI 1003319500, Seattle, WA); The Association Of University Physicians (NPI 1023041159, Seattle, WA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1487661740) · Data from the CMS NPPES public registry.