JAE-HOON CHUNG MD PHD
NPI 1578190849
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since March 25, 2020PECOS Enrolled
1800 ORLEANS STREET ZAYED 7122, BALTIMORE, MD 21264(410) 955-5999 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2023, Mar 25, 2020 (2 updates tracked since 2020).

About Jae-hoon Chung Md Phd NPPES

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

JAE-HOON CHUNG MD PHD (NPI 1578190849) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1578190849
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAE-HOON CHUNGCredential: MD PHD
Location Address1800 ORLEANS STREET ZAYED 7122Baltimore, MD 21264-1267
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
NPI 1578190849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1800 ORLEANS STREET ZAYED 7122, Baltimore, MD 21264

Secondary Practice Location 1

Location 1395 W 12th Ave Fl 3Columbus, OH 43210-1267 · Phone (614) 293-3989 · Fax (614) 293-9789

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jae-hoon Chung Md Phd 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.

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Cardiovascular Disease)
1800 ORLEANS STREET ZAYED 7122
BALTIMORE, MD 21264
Student in an Organized Health Care Education/Training Program
1800 ORLEANS STREET ZAYED 7122
BALTIMORE, MD 21264

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 Jae-hoon Chung's NPI number?

The NPI number for Jae-hoon Chung is 1578190849. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Jae-hoon Chung located?

Jae-hoon Chung practices at 1800 Orleans Street Zayed 7122, Baltimore, MD 21264. The listed phone number is (410) 955-5999.

What is Jae-hoon Chung's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jae-hoon Chung enrolled in Medicare?

Yes. Jae-hoon Chung is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jae-hoon Chung was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.