1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Plastic Surgery
  6. NPI Profile

KYUNGHOON CHUNG MD
NPI 1821208240
Plastic Surgery - Plastic Surgery Within the Head and Neck in Phoenix, AZ

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
1441 N 12TH ST, PHOENIX, AZ 85006(602) 521-5150 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kyunghoon Chung Md NPPES

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

KYUNGHOON CHUNG MD (NPI 1821208240) is an individual plastic surgery within the head and neck provider in Phoenix, Arizona, licensed in Arizona (55134) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2014).

NPPES Registry Identity

NPI1821208240
Entity TypeIndividualMale
Primary Taxonomy2082S0099X
Provider Legal NameKYUNGHOON CHUNGCredential: MD
Location Address1441 N 12TH STPhoenix, AZ 85006-2837
Mailing Address1441 N 12th StPhoenix, AZ 85006-2837 · (602) 521-5150
Phone(602) 521-5150
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2014
Enumeration DateMay 23, 2007
Last NPPES UpdateApril 25, 2024
NPPES CertifiedApril 25, 2024
✔ NPI 1821208240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic Surgery · Plastic Surgery Within the Head and NeckAllopathic & Osteopathic Physicians
Taxonomy Code2082S0099X
License✔ Licensed in AZ · 55134
Definition
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
1441 N 12TH ST, Phoenix, AZ 85006
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona 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

Kyunghoon Chung Md 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 ID648529586
PECOS Enrollment IDI20191104003053
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

2

Medicare enrollment records show Kyunghoon Chung reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner - University Physician Specialists LLC
1.6 mi
Multi-Specialty
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 553 clinicians in this Medicare group
NPI 1417312760 (602) 747-4000
Banner Physician Super Specialists Arizona LLC
1.6 mi
Multi-Specialty
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 188 clinicians in this Medicare group
NPI 1841573870 (602) 747-4000

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.

LINDSEY RENTERIA NP
Nurse Practitioner
1441 N 12TH ST
PHOENIX, AZ 85006
Maricopa County (602) 521-5900
MISS VAISHALI RAVIKUMAR MD
Student in an Organized Health Care Education/Training Program
1441 N 12TH ST
PHOENIX, AZ 85006
Maricopa County (602) 521-5700
FORREST D GORTER PAC
Physician Assistant
1441 N 12TH ST
PHOENIX, AZ 85006
Maricopa County (602) 747-4577
ASHLEY THAIN PA-C
Physician Assistant
1441 N 12TH ST
PHOENIX, AZ 85006
Maricopa County (602) 521-5700
DR. KATHLEEN LANGFORD CURLEY MD
Obstetrics & Gynecology
1441 N 12TH ST
PHOENIX, AZ 85006
Maricopa County (602) 521-5700
DEANN ANITRA PADILLA FNP-BC
Nurse Practitioner (Family)
1441 N 12TH ST
PHOENIX, AZ 85006
Maricopa County (602) 521-5900
ALICIA MOANA TAASE
Surgery
1441 N 12TH ST
PHOENIX, AZ 85006
Maricopa County (602) 521-5969
DR. LAWRENCE MICHAEL KASPER M.D.
Internal Medicine (Hematology & Oncology)
1441 N 12TH ST
PHOENIX, AZ 85006
Maricopa County (602) 521-3700

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 Kyunghoon Chung's NPI number?

The NPI number for Kyunghoon Chung is 1821208240. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Kyunghoon Chung located?

Kyunghoon Chung practices at 1441 N 12th St, Phoenix, AZ 85006. The listed phone number is (602) 521-5150.

What is Kyunghoon Chung's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Plastic Surgery Within the Head and Neck, with taxonomy code 2082S0099X.

Is Kyunghoon Chung enrolled in Medicare?

Yes. Kyunghoon 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 Kyunghoon Chung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyunghoon Chung reassigns Medicare benefits to 2 organizations: Banner - University Physician Specialists LLC (Phoenix, AZ) and Banner Physician Super Specialists Arizona LLC (Phoenix, AZ). 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 Kyunghoon Chung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyunghoon Chung accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Kyunghoon 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 Kyunghoon Chung was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.