SEUNG YONG JI MD
NPI 1033748660
Otolaryngology in Boise, ID

Q: What is Seung Yong Ji's NPI number?

The NPI number for Seung Yong Ji is 1033748660. It was assigned to this individual provider in the NPPES registry on April 6, 2020. The provider is also known as Keven Ji MD.

Q: What is Seung Yong Ji's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Seung Yong Ji was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment

900 N LIBERTY ST STE 400, BOISE, ID 83704(208) 336-4368 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Seung Yong Ji Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEUNG YONG JI MD (NPI 1033748660) is an individual otolaryngology provider in Boise, Idaho, licensed in Idaho (1371968) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1033748660

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameSEUNG YONG JICredential: MD

Location Address900 N LIBERTY ST STE 400Boise, ID 83704-8707

Mailing Address2001 N 17th StBoise, ID 83702-0802 · (215) 350-4624

Phone(208) 336-4368

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2020

Enumeration DateApril 6, 2020

Last NPPES UpdateFebruary 9, 2026

NPPES CertifiedFebruary 9, 2026

✔ NPI 1033748660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in ID · 1371968

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

900 N LIBERTY ST STE 400, Boise, ID 83704

Open in Google Maps ↗

Other Names 1

Other Name (5)Keven Ji Md

Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3011 · Phone (503) 494-8311

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Seung Yong Ji Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294158531

PECOS Enrollment IDI20250722002470

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130071

Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TIFFANY KEARNY PA

Physician Assistant