NPPES file of Aug 9, 2026

Derek Shane Chung, DO

Pain Medicine (Anesthesiology) Physician · Salt Lake City, UT

Derek Shane Chung, DO is a pain medicine (anesthesiology) physician with a practice address in Salt Lake City, Utah, and NPI 1578149670, issued on Mar 20, 2021. Check the license (Utah 14209965-1204, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1578149670
Name
Derek Shane Chung
Credential
DO
Primary taxonomy
Pain Medicine (Anesthesiology) Physician 207LP2900X
License number
14209965-1204 UT
Self-reported in NPPES; status is on the state search
Practice location
30 N Mario Capechhi Dr RM 5N200, Salt Lake City, UT 84112
Phone
(801) 581-2121
Enumerated
Mar 20, 2021
Record last updated
Dec 29, 2025
Medicare enrollment
Enrolled (PECOS I20250904002014); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest pain medicine (anesthesiology) physician records → All 31 in Utah → Look up another NPI →

Also registered at 30 N Mario Capechhi Dr RM 5N200

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Emily Burson, DOPain Medicine (Anesthesiology) Physician1649920513
  2. Adam Eddington, MDPain Medicine (Anesthesiology) Physician1538746722
  3. Ryan Jensen, DOAnesthesiology Physician1932842481

Verify Derek Shane Chung in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersUtah Medical Licensing Board
    Search for license 14209965-1204    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Utah license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. University OF Utah Adult ServicesSalt Lake City, UT

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Derek Shane Chung among 31 pain medicine (anesthesiology) physician records in Utah

Derek Shane Chung, DO is one of 31 pain medicine (anesthesiology) physician records with a practice address in Utah. 94% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 87% of them.

  • NPI issued2021 · 87% of these records are older, 3% newer
  • In a Medicare fileYes · 94% of these records are
  • In the CMS Doctors and Clinicians fileYes · 87% of these records are
  • Graduated2021 · median 2013 among the 27 with a school on file
  • Record last updated2025 · 32% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207LP2900X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pain Medicine (Anesthesiology) Physician providers in Utah

There are 31 pain medicine (anesthesiology) physician records in Utah.

All 31 in Utah → Every provider in Salt Lake City → Pain Medicine (Anesthesiology) Physician nationwide →

The 8 pain medicine (anesthesiology) physician records with the nearest ZIP codes

  1. Emily Burson, DOSalt Lake City, UT 841121649920513
  2. Zachary Culp, MDSalt Lake City, UT 841121114595097
  3. Adam Eddington, MDSalt Lake City, UT 841121538746722
  4. Jeffrey PenceWest Valley City, UT 841201265963722
  5. Mathew Romankowski, M.D.Salt Lake City, UT 841021538505409
  6. Ryan Murphy, M.D.South Jordan, UT 840951235211103
  7. Perry Fine, MDSalt Lake City, UT 841321861582462
  8. Tyson Jergensen, MDSalt Lake City, UT 841321366071227

Common questions

What is Derek Shane Chung, DO's NPI number?

Derek Shane Chung, DO's National Provider Identifier (NPI) is 1578149670, issued on Mar 20, 2021. An NPI identifies a provider in billing; it is not a license.

Where is Derek Shane Chung, DO located?

The NPPES record lists a practice address at 30 N Mario Capechhi Dr RM 5N200, Salt Lake City, UT, 84112. Phone: (801) 581-2121. Providers update this record themselves, so call before visiting.

How can I verify Derek Shane Chung, DO's license?

NPPES lists Utah license number 14209965-1204, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.