DEREK SHANE CHUNG DO NPI 1578149670

NPI Information

  • NPI: 1578149670
  • Provider Name: DEREK SHANE CHUNG, DO
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 30 N MARIO CAPECHHI DR RM 5N200
    SALT LAKE CITY, UT
    ZIP 84112
  • Phone: (801) 581-2121

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NPI Details

Derek Shane Chung, DO is a pain medicine anesthesiology in Salt Lake City, UT. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. Derek Shane Chung, DO NPI is 1578149670. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

30 N MARIO CAPECHHI DR RM 5N200
SALT LAKE CITY, UT
ZIP 84112
Phone: (801) 581-2121

The NPI 1578149670 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2021 and was last updated on 8/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain Medicine14209965-1204UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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