MICHELLE C KUNG DPM
NPI 1982390068
Student in an Organized Health Care Education/Training Program in Brockton, MA

Active since April 12, 2023PECOS EnrolledAccepts Medicare Assignment
110 LIBERTY ST, BROCKTON, MA 02301(508) 894-0400 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 28, 2026, Apr 12, 2023 (2 updates tracked since 2023).

About Michelle C Kung Dpm NPPES

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

MICHELLE C KUNG DPM (NPI 1982390068) is an individual student in an organized health care education/training program in Brockton, Massachusetts and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Signature Healthcare Brockton Hospital, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1982390068
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMICHELLE C KUNGCredential: DPM
Location Address110 LIBERTY STBrockton, MA 02301-5674
Mailing Address35 Roberts StQuincy, MA 02169-6402
Sole ProprietorNo
Medical School CMSTemple University School Of Podiatric MedicineGraduated 2023
Enumeration DateApril 12, 2023
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1982390068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License PDF8341 (MA)
110 LIBERTY ST, Brockton, MA 02301

Secondary Practice Location 1

Location 1185 Pilgrim RdBoston, MA 02215-5324 · Phone (617) 632-8428

Accepted 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

Michelle C Kung Dpm 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 ID7214405661
PECOS Enrollment IDI20260505001469
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 Reassignment

Medicare enrollment records show Michelle Kung reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
110 LIBERTY ST
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 409 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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Signature Healthcare Brockton Hospital

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220052
Location680 Center StreetBrockton, MA 02302 · Plymouth County
Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

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.

Physician Assistant
110 LIBERTY ST
BROCKTON, MA 02301
Nurse Practitioner (Family)
110 LIBERTY ST
BROCKTON, MA 02301
Family Medicine (Obesity Medicine)
110 LIBERTY ST
BROCKTON, MA 02301
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 LIBERTY ST
BROCKTON, MA 02301
Dermatology
110 LIBERTY ST
BROCKTON, MA 02301
Ophthalmology
110 LIBERTY ST
BROCKTON, MA 02301
Physical Medicine & Rehabilitation
110 LIBERTY ST
BROCKTON, MA 02301
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 LIBERTY ST
BROCKTON, MA 02301

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 Michelle Kung's NPI number?

The NPI number for Michelle Kung is 1982390068. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Michelle Kung located?

Michelle Kung practices at 110 Liberty St, Brockton, MA 02301. The listed phone number is (508) 894-0400.

What is Michelle Kung's specialty?

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

Is Michelle Kung enrolled in Medicare?

Yes. Michelle Kung 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 organization bills Medicare for Michelle Kung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Kung reassigns Medicare benefits to Signature Healthcare Medical Group Inc (Brockton, 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 Michelle Kung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Kung accept?

Health plans from Taro Health list Michelle Kung 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.

Is Michelle Kung affiliated with any hospitals?

According to CMS data, Michelle Kung is affiliated with Signature Healthcare Brockton Hospital and Beth Israel Deaconess Medical Center.

When was this NPI record last updated?

The NPPES record for Michelle Kung was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.