DR. JENICA MAE KYUNGHI RYU M.D.
NPI 1184815284
Family Medicine in Alhambra, CA

Active since August 05, 2007PECOS EnrolledAccepts Medicare Assignment
1000 S FREMONT AVE UNIT 22, BUILDING A-7, 4TH FLOOR, SUITE #7403, ALHAMBRA, CA 91803(626) 457-4226 Get Directions Write a Review

NPPES record last updated: August 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jenica Mae Kyunghi Ryu M.d. NPPES

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

DR. JENICA MAE KYUNGHI RYU M.D. (NPI 1184815284) is an individual family medicine provider in Alhambra, California, licensed in California (A99435) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2005).

NPPES Registry Identity

NPI1184815284
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JENICA MAE KYUNGHI RYUCredential: M.D.
Location Address1000 S FREMONT AVE UNIT 22, BUILDING A-7, 4TH FLOOR, SUITE #7403Alhambra, CA 91803-8847
Mailing Address1000 S Fremont Ave Unit 22, Building A-7, 4th Floor, Suite #7403Alhambra, CA 91803-8847 · (626) 457-4226
Sole ProprietorYes
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2005
Enumeration DateAugust 5, 2007
Last NPPES UpdateAugust 28, 2008
NPI 1184815284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A99435
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1000 S FREMONT AVE UNIT 22, Alhambra, CA 91803

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. Jenica Mae Kyunghi Ryu 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 ID3678703329
PECOS Enrollment IDI20170306002671
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 91803 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers15 claims34 services$3.55 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers15 claims17 services$0.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Psychologist
1000 S FREMONT AVE UNIT 22
ALHAMBRA, CA 91803
Registered Nurse
1000 S FREMONT AVE UNIT 22
ALHAMBRA, CA 91803
Registered Nurse (Case Management)
1000 S FREMONT AVE UNIT 22
ALHAMBRA, CA 91803

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 Jenica Ryu's NPI number?

The NPI number for Jenica Ryu is 1184815284. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Jenica Ryu located?

Jenica Ryu practices at 1000 S Fremont Ave Unit 22 Building A-7, 4th Floor, Suite #7403, Alhambra, CA 91803. The listed phone number is (626) 457-4226.

What is Jenica Ryu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jenica Ryu enrolled in Medicare?

Yes. Jenica Ryu 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.

When was this NPI record last updated?

The NPPES record for Jenica Ryu was last updated on August 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.