SEO YOON MOON M.D.
NPI 1073833802
Otolaryngology in Miami, FL

Q: What is Seo Moon's NPI number?

The NPI number for Seo Moon is 1073833802. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Q: What is Seo Moon'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 Seo Moon was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 June 03, 2010PECOS EnrolledAccepts Medicare Assignment

1611 NW 12TH AVE, MIAMI, FL 33136(571) 291-1238 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Seo Yoon Moon M.d. NPPES

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

SEO YOON MOON M.D. (NPI 1073833802) is an individual otolaryngology provider in Miami, Florida, licensed in Florida (ME123495) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1073833802

Entity TypeIndividualFemale

Primary Taxonomy207Y00000X

Provider Legal NameSEO YOON MOONCredential: M.D.

Location Address1611 NW 12TH AVEMiami, FL 33136-1005

Mailing Address1611 Nw 12th AveMiami, FL 33136-1005

Phone(571) 291-1238

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 3, 2010

Last NPPES UpdateDecember 22, 2021

✔ NPI 1073833802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in FL · ME123495

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

1611 NW 12TH AVE, Miami, FL 33136

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Seo Yoon Moon M.d. 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 ID143537241

PECOS Enrollment IDI20161111001901

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.

Medicare Billing Reassignment

Medicare enrollment records show Seo Moon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

2,534 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

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 20

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

DR. AKUA GYANEWAH ASARE MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 355-8264

MARILUZ SANCHEZ PHARM.D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136

Miami-Dade County (305) 585-7309

DR. TASHA JOYTI N. D. COOKE TASHA COOKE

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-3670

DR. JUANITA ANN MARIE HUNTER M.D.

Pediatrics (Pediatric Cardiology)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-6042

WANDA LAVERNE MCGOWAN-BRAYNEN ARNP

Nurse Practitioner (Adult Health)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

DR. PERTTI KALEVI HAKALA M.D.

Anesthesiology

1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136

Miami-Dade County (305) 585-6970

JAYLOU M VELEZ TORRES M.D.

Pathology (Anatomic Pathology)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-8381

ANNE-ISABELLE SOPHIA REME MD

Surgery

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1280

ELIE SAMIR ALAM MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

CHRISTOPHER D NAVARRO MD

Anesthesiology

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

RENZO ALDERETE APRN

Nurse Practitioner

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

AAZIM SYED ARIF MD

Radiology (Diagnostic Radiology)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

DR. VICTOR M. LU MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-6751

DR. MIRIAM MARTI MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 342-1919

ALVARO ALFONSO SOTO RINCON MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (786) 769-0052

LANIEL ROMEUS JR.

Radiology (Diagnostic Radiology)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-7000

CAMILLE-KAE TORRE DNP, APRN, NNP-BC

Nurse Practitioner (Neonatal)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-5437

NICOLE FARES MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-6970

VERONICA NUNEZ

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-5437

MARGO STAPLETON MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 355-1350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seo Moon's NPI number?

The NPI number for Seo Moon is 1073833802. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Seo Moon located?

Seo Moon practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (571) 291-1238.

What is Seo Moon's specialty?

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

Is Seo Moon enrolled in Medicare?

Yes. Seo Moon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Seo Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seo Moon reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Seo Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Seo Moon was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.