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

Active since April 12, 2023PECOS Enrolled
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: August 02, 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 Beth Israel Deaconess Medical Center, 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
Phone(508) 894-0400
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

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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
Open in Google Maps ↗

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle C Kung Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Hospital Affiliations CMS Care Compare

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

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.

MR. RICHARD DUONG PA-C
Physician Assistant
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 565-3055
MRS. RENA B LEVY MSN, FNP-BC
Nurse Practitioner (Family)
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 894-0400
DR. KEVIN RAYMOND GENDREAU M.D.
Family Medicine (Obesity Medicine)
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 894-0400
XIN HE
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 894-0400
DR. SENA J LEE MD
Dermatology
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 580-1020
NITA MEHTA MD
Ophthalmology
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 894-0400
DR. TARA SAMANTHA SWIM M.D.
Physical Medicine & Rehabilitation
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 565-3055
NATASHA BITA KHAZAI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 894-0400

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 enrollment system.

Is Michelle Kung affiliated with any hospitals?

According to CMS data, Michelle Kung is affiliated with 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 3 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.