ANNISE K. CHUNG DO – NPI #1417299348
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

ANNISE CHUNG is a physician located in CHARLOTTE, NC. NPPES has assigned the NPI number 1417299348 to ANNISE CHUNG on March 18, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 7 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on May 02, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANNISE CHUNG below.

NPI Profile for
ANNISE K. CHUNG

NPI Number
1417299348
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ANNISE K. CHUNG
Credentials
DO
Primary location
3158 FREEDOM DR STE 3101
CHARLOTTE, NC 28208-0014
Phone: (704) 348-2992 Fax: (704) 334-3061
7 Other location(s):
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone: (704) 355-0720
10628 Park Rd
Charlotte, NC 28210-8407
Phone: (704) 667-7070
2001 Vail Ave
Charlotte, NC 28207-1248
Phone: (704) 304-6070
7903 Providence Rd Ste 110
Charlotte, NC 28277-8300
Phone: (704) 248-5101
Fax: (704) 248-5120
8800 N Tryon St
Charlotte, NC 28262-3300
Phone: (704) 863-6241
433 Copperfield Blvd NE
Concord, NC 28025-2405
Phone: (704) 786-7770
Fax: (704) 788-9351
1000 Healing Way
Matthews, NC 28104-4969
Phone: (980) 993-2240
Mailing address
3158 FREEDOM DR STE 3102
CHARLOTTE, NC 28208-0014
Phone: (704) 971-7099 Fax: (704) 971-0035
Sole Proprietor
No
Updated
Certification Date
Apr 30, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 NC 2023-00627
208M00000X
- Hospitalist		 NC 2023-00627
207R00000X
- Internal Medicine		 NC 2023-00627

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
Y
Endpoint Location
1000 HEALING WAY,
MATTHEWS, NC 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
ACUMEN DIRECT MESSAGING
Content Type
OTHER
Affiliation
N
Endpoint Location
3158 FREEDOM DR STE 3101,
CHARLOTTE, NC 77025-1669

Additional Information

Education
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE - Graduated 2013
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ANNISE CHUNG is affiliated with the following medical group(s):
  • HOSPITAL
    • ALTON MEMORIAL HOSPITAL
      ONE MEMORIAL DRIVE
      ALTON, IL 62002
    • CHRISTIAN HOSPITAL NORTHEAST
      11133 DUNN ROAD
      SAINT LOUIS, MO 63136
    • OSF SAINT ANTHONY'S HEALTH CENTER
      ST ANTHONY'S WAY
      ALTON, IL 62002
    • SSM HEALTH DEPAUL HOSPITAL ST LOUIS
      12303 DEPAUL DRIVE
      BRIDGETON, MO 63044
  • DIALYSIS FACILITY
    • FMC - SOUTHWEST ILLINOIS
      # 7 PROFESSIONAL DRIVE
      ALTON, IL 62002

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