JEANNIE YANG CHUN M.D.
NPI 1639128499
Surgery - Pediatric Surgery in Portland, OR

Q: What is Jeannie Chun's NPI number?

The NPI number for Jeannie Chun is 1639128499. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Q: What is Jeannie Chun's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for Jeannie Chun was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 09, 2006PECOS Enrolled

9427 SW BARNES RD STE 395, PORTLAND, OR 97225(503) 216-6050 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 19, 2021, Dec 24, 2019 (2 updates tracked since 2019).

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About Jeannie Yang Chun M.d. NPPES

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

JEANNIE YANG CHUN M.D. (NPI 1639128499) is an individual pediatric surgery provider in Portland, Oregon, licensed in Oregon (MD177023) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1639128499

Entity TypeIndividualFemale

Primary Taxonomy2086S0120X

Provider Legal NameJEANNIE YANG CHUNCredential: M.D.

Location Address9427 SW BARNES RD STE 395Portland, OR 97225-6652

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494

Phone(503) 216-6050

Sole ProprietorNo

Enumeration DateMay 9, 2006

Last NPPES UpdateFebruary 19, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2021

✔ NPI 1639128499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

Licenses✔ Licensed in OR · MD177023✔ Licensed in KY · 42458

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

9427 SW BARNES RD STE 395, Portland, OR 97225

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Secondary Practice Location 1

Location 1315 E Broadway, Suite 565Louisville, KY 40202-3700 · Phone (502) 629-8630

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeannie Yang Chun M.d. 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.

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