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SEOKHYUN JIN MD
NPI 1245724335
Student in an Organized Health Care Education/Training Program in Syracuse, NY

Active since June 21, 2018PECOS Enrolled
750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-5240(315) 464-3751 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Seokhyun Jin Md NPPES

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

SEOKHYUN JIN MD (NPI 1245724335) is an individual student in an organized health care education/training program in Syracuse, New York and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245724335
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSEOKHYUN JINCredential: MD
Location Address750 E ADAMS STSyracuse, NY 13210-2306
Mailing Address750 E Adams StSyracuse, NY 13210-2306
Phone(315) 464-5240
Fax(315) 464-3751
Sole ProprietorYes
Enumeration DateJune 21, 2018
Last NPPES UpdateJune 24, 2019
✔ NPI 1245724335 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.
750 E ADAMS ST, Syracuse, NY 13210
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Seokhyun Jin Md 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.

Medicare Billing Reassignment

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

Anesthesia Innovations LLC
4,826 mi
Anesthesiology
1712 LILIHA ST, SUITE 301
Honolulu, HI 96817
  • Reassigned Medicare billing, Hawaii enrollment
  • 4 clinicians in this Medicare group
NPI 1386965762 (808) 206-5301

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

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.

DAVID M KANTER MD
Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5820
BRENNAN ELLIS M.D.
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6202
UPSTATE UROLOGY, INC.
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6106
DR. AUDREY VICTORIA VANDEWALL DO
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 408-5854
BETHANY A HAWKE MD
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
BILLAL MOHMAND MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
DAYANA NASR MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
JARROD THOMAS ELLIS
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6635

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 Seokhyun Jin's NPI number?

The NPI number for Seokhyun Jin is 1245724335. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Seokhyun Jin located?

Seokhyun Jin practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-5240.

What is Seokhyun Jin's specialty?

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

Is Seokhyun Jin enrolled in Medicare?

Yes. Seokhyun Jin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Seokhyun Jin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seokhyun Jin reassigns Medicare benefits to Anesthesia Innovations LLC (Honolulu, HI). 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 Seokhyun Jin'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 Seokhyun Jin was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.