CALVIN YOUNGHO JUNG MD
NPI 1588305353
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since April 05, 2022PECOS Enrolled
920 MADISON AVE STE 447, MEMPHIS, TN 38103(901) 448-7635 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Calvin Youngho Jung Md NPPES

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

CALVIN YOUNGHO JUNG MD (NPI 1588305353) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588305353
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCALVIN YOUNGHO JUNGCredential: MD
Location Address920 MADISON AVE STE 447Memphis, TN 38103-3438
Mailing Address910 Madison Ave Fl 2Memphis, TN 38103-3403 · (901) 448-7635
Sole ProprietorNo
Enumeration DateApril 5, 2022
NPPES CertifiedApril 5, 2022
NPI 1588305353 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.
920 MADISON AVE STE 447, Memphis, TN 38103

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Calvin Youngho Jung 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.

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.

Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Plastic Surgery
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Internal Medicine (Nephrology)
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103

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 Calvin Jung's NPI number?

The NPI number for Calvin Jung is 1588305353. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Calvin Jung located?

Calvin Jung practices at 920 Madison Ave Ste 447, Memphis, TN 38103. The listed phone number is (901) 448-7635.

What is Calvin Jung's specialty?

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

Is Calvin Jung enrolled in Medicare?

Yes. Calvin Jung is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Calvin Jung was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.