MYUNG-JUN KO
NPI 1245096965
Student in an Organized Health Care Education/Training Program in Weston, FL

Q: What is Myung-jun Ko's NPI number?

The NPI number for Myung-jun Ko is 1245096965. It was assigned to this individual provider in the NPPES registry on February 21, 2024.

Q: What is Myung-jun Ko's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Myung-jun Ko was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 February 21, 2024PECOS Enrolled

2590 CLEVELAND CLINIC BLVD., WESTON, FL 33331(954) 659-5000 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2025, May 24, 2025 (2 updates tracked since 2025).

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About Myung-jun Ko NPPES

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

MYUNG-JUN KO (NPI 1245096965) is an individual student in an organized health care education/training program in Weston, Florida and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1245096965

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMYUNG-JUN KO

Location Address2590 CLEVELAND CLINIC BLVD.Weston, FL 33331

Mailing Address2590 Cleveland Clinic Blvd.Weston, FL 33331 · (954) 659-5000

Phone(954) 659-5000

Sole ProprietorYes

Enumeration DateFebruary 21, 2024

Last NPPES UpdateJune 12, 20252 updates tracked since enumeration

NPPES CertifiedMay 24, 2025

✔ NPI 1245096965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2590 CLEVELAND CLINIC BLVD., Weston, FL 33331

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Secondary Practice Location 1

Location 1885 Tiverton DriveLos Angeles, CA 90095-0001 · Phone (310) 825-6373

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Myung-jun Ko is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 7

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

DR. NOAM KAHANA MD

Surgery

2590 CLEVELAND CLINIC BLVD.
WESTON, FL 33331

Broward County (954) 659-5000

JOHN PAUL RAFAEL SARGENT MD