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

Q: 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.

Q: 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.

Q: 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.

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: August 02, 2026.

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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

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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.

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