DR. SU HYUN JEONG MD
NPI 1346980034
Student in an Organized Health Care Education/Training Program in Reno, NV

Active since March 30, 2022PECOS EnrolledAccepts Medicare Assignment
745 W MOANA LN STE 300, RENO, NV 89509(775) 327-5174 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Su Hyun Jeong Md NPPES

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

DR. SU HYUN JEONG MD (NPI 1346980034) is an individual student in an organized health care education/training program in Reno, Nevada and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sugar Land, and is a graduate of University Of Texas Medical School At Houston (2022).

NPPES Registry Identity

NPI1346980034
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SU HYUN JEONGCredential: MD
Location Address745 W MOANA LN STE 300Reno, NV 89509-4980
Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-0000
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2022
Enumeration DateMarch 30, 2022
Last NPPES UpdateSeptember 5, 2025
NPPES CertifiedSeptember 5, 2025
NPI 1346980034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.
Also ListedInternal MedicineTaxonomy 207R00000X · License V7912 (TX)
Also ListedHospitalistTaxonomy 208M00000X · License V7912 (TX)
745 W MOANA LN STE 300, Reno, NV 89509

Secondary Practice Location 1

Location 111555 University BlvdSugar Land, TX 77478-3889 · Phone (713) 442-0000

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. Su Hyun Jeong Md 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 ID2961870522
PECOS Enrollment IDI20250920000261
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 20

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

Student in an Organized Health Care Education/Training Program
745 W MOANA LN STE 300
RENO, NV 89509
Internal Medicine
745 W MOANA LN STE 300
RENO, NV 89509
Student in an Organized Health Care Education/Training Program
745 W MOANA LN STE 300
RENO, NV 89509
Student in an Organized Health Care Education/Training Program
745 W MOANA LN STE 300
RENO, NV 89509
Student in an Organized Health Care Education/Training Program
745 W MOANA LN STE 300
RENO, NV 89509
Student in an Organized Health Care Education/Training Program
745 W MOANA LN STE 300
RENO, NV 89509
Student in an Organized Health Care Education/Training Program
745 W MOANA LN STE 300
RENO, NV 89509
Student in an Organized Health Care Education/Training Program
745 W MOANA LN STE 300
RENO, NV 89509

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 Su Hyun Jeong's NPI number?

The NPI number for Su Hyun Jeong is 1346980034. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Su Hyun Jeong located?

Su Hyun Jeong practices at 745 W Moana Ln Ste 300, Reno, NV 89509. The listed phone number is (775) 327-5174.

What is Su Hyun Jeong's specialty?

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

Is Su Hyun Jeong enrolled in Medicare?

Yes. Su Hyun Jeong 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 Su Hyun Jeong was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.