JIWOONG HYUN PA-C
NPI 1134801756
Physician Assistant in Livonia, MI

Q: What is Jiwoong Hyun's NPI number?

The NPI number for Jiwoong Hyun is 1134801756. It was assigned to this individual provider in the NPPES registry on August 3, 2023.

Q: What is Jiwoong Hyun's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jiwoong Hyun was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 03, 2023PECOS EnrolledAccepts Medicare Assignment

17177 N LAUREL PARK DR STE 131, LIVONIA, MI 48152(734) 462-3210 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2026, Apr 21, 2026, Mar 7, 2025 (3 updates tracked since 2025).

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About Jiwoong Hyun Pa-c NPPES

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

JIWOONG HYUN PA-C (NPI 1134801756) is an individual physician assistant in Livonia, Michigan, licensed in Michigan (5601011944) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1134801756

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJIWOONG HYUNCredential: PA-C

Location Address17177 N LAUREL PARK DR STE 131Livonia, MI 48152-3952

Mailing Address28741 Herbert StMadison Heights, MI 48071-2908 · (734) 506-0652

Phone(734) 462-3210

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 3, 2023

Last NPPES UpdateMay 13, 20263 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1134801756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601011944

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

17177 N LAUREL PARK DR STE 131, Livonia, MI 48152

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Secondary Practice Locations 2

Location 113739 S Huron River DrRomulus, MI 48174-3628 · Phone (734) 506-0652

Location 215400 W McNichols RdDetroit, MI 48235-3724 · Phone (313) 835-5990 · Fax (313) 835-5920

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Jiwoong Hyun Pa-c 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 ID6709230972

PECOS Enrollment IDI20230922000418

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

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

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230165

Location22101 Moross RdDetroit, MI 48236 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48152 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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 17

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

SHAYNA DANTO RDN

Dietitian, Registered