DR. DAE KEUN JOO M.D.
NPI 1164757076
Otolaryngology in Riverside, CA

Q: What is Dae Joo's NPI number?

The NPI number for Dae Joo is 1164757076. It was assigned to this individual provider in the NPPES registry on October 9, 2009. The provider is also known as Dr. Daekeun Joo M.D..

Q: What is Dae Joo'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 Dae Joo was last updated on October 18, 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 October 09, 2009PECOS EnrolledAccepts Medicare Assignment

10800 MAGNOLIA AVE, RIVERSIDE, CA 92505(951) 353-4738 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Dae Keun Joo M.d. NPPES

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

DR. DAE KEUN JOO M.D. (NPI 1164757076) is an individual otolaryngology provider in Riverside, California, licensed in California (A93394) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2004).

NPPES Registry Identity

NPI1164757076

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. DAE KEUN JOOCredential: M.D.

Location Address10800 MAGNOLIA AVERiverside, CA 92505-3043

Mailing Address4000 Hoosier Lawn WayYorba Linda, CA 92886-7025 · (310) 508-5377

Phone(951) 353-4738

Sole ProprietorYes

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2004

Enumeration DateOctober 9, 2009

Last NPPES UpdateOctober 18, 2021

NPPES CertifiedOctober 18, 2021

✔ NPI 1164757076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in CA · A93394

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.

10800 MAGNOLIA AVE, Riverside, CA 92505

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Other Names 1

Professional Name (2)Dr. Daekeun Joo M.d.

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

Dr. Dae Keun Joo 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 ID345373304

PECOS Enrollment IDI20100728000873

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92505 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.

KAISER PERMANENTE

General Acute Care Hospital