Theodore Chung, MD
Theodore Chung, MD is a Cardiovascular Disease Physician in Jbsa Lackland, TX, registered under NPI 1306307301. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 1100 WILFORD HALL LOOP BLDG 455459, Jbsa Lackland, TX 78236. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 0101274313 | VA | Cardiovascular Disease Physician primary |
| 0101274313 | VA | Internal Medicine Physician |
This provider holds licence 0101274313 issued in VA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Order And Referring Only - Cardiovascular Disease (cardiology)
- PAC ID
- 3971837964
- Enrollment ID
- I20260120002196
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Cardiovascular Disease (cardiology). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Cardiovascular Disease covers
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. NUCC Health Care Provider Taxonomy, code 207RC0000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207RC0000X | Cardiovascular Disease Physician Cardiovascular Disease | 0101274313 | VA | primary |
| 207R00000X | Internal Medicine Physician | 0101274313 | VA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1306307301 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 31, 2019 |
| Last updated | Jul 7, 2025 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | MD |
| Practice address |
1100 WILFORD HALL LOOP BLDG 455459 Jbsa Lackland, TX 78236 (210) 266-5609 |
| Mailing address |
WILFORD HALL AMBULATORY SURGICAL CENTER 1100 WILFORD HALL LOOP Jbsa Lackland, TX 78236 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 0 | 6 | 3 | 0 | 7 | 3 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 0 | 6 | 6 | 0 | 5 | 3 | 0 |
Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.