DR. TAK-MAN KIMBERLY FUNG OD
NPI 1962011601
Optometrist in Boston, MA
About Dr. Tak-man Kimberly Fung Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TAK-MAN KIMBERLY FUNG OD (NPI 1962011601) is an individual optometrist in Boston, Massachusetts, licensed in Massachusetts (5516) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tak-man Kimberly Fung Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tak-man Fung reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Boston, MA 02127
- Reassigned Medicare billing, Massachusetts enrollment
- 136 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02127 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02127
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 Tak-man Fung's NPI number?
The NPI number for Tak-man Fung is 1962011601. It was assigned to this individual provider in the NPPES registry on July 29, 2020.
Where is Tak-man Fung located?
Tak-man Fung practices at 386 W Broadway, Boston, MA 02127. The listed phone number is (617) 269-7500.
What is Tak-man Fung's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Tak-man Fung enrolled in Medicare?
Yes. Tak-man Fung is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tak-man Fung's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tak-man Fung reassigns Medicare benefits to South Boston Community Health Center (South Boston, MA). The 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 Tak-man Fung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tak-man Fung accept?
Health plans from Anthem Blue Cross and Blue Shield list Tak-man Fung 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 Tak-man Fung was last updated on December 10, 2021. 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.
# Dr. Tak-Man Kimberly Fung, OD · NPI 1962011601
Optometrist provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since July 29, 2020.
## Identity
- **NPI:** 1962011601 (Entity type: Individual)
- **Enumerated:** July 29, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 5516 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 386 W BROADWAY, Boston, MA 02127-2215
- **Phone:** (617) 269-7500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** South Boston Community Health Center (NPI 1669447413, South Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1962011601) · Data from the CMS NPPES public registry.