Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacky Kim Chun, PA-C

Individual provider Medical Physician Assistant · NPI 1164140109

Jacky Kim Chun, PA-C is a Physician Assistant in Rockville, Maryland. Qualified in 2022, 4 years ago. Practices with Capital Digestive Care LLC, a 239-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

15001 Shady Grove Rd Ste 300
Rockville, MD 20850-6353
Phone: (301) 340-3252
Fax: (301) 340-1423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C0008525 (MD)

Record details

NPI number1164140109
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 16, 2022
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Capital Digestive Care Llc — 239 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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