DASEULI JEONG
NPI 1366320970
Family Medicine - Obesity Medicine in Fairfax, VA

Q: What is Daseuli Jeong's NPI number?

The NPI number for Daseuli Jeong is 1366320970. It was assigned to this individual provider in the NPPES registry on August 22, 2025.

Q: What is Daseuli Jeong's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.

Q: When was this NPI record last updated?

The NPPES record for Daseuli Jeong was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 August 22, 2025PECOS EnrolledAccepts Medicare Assignment

3903 FAIR RIDGE DR STE 209, FAIRFAX, VA 22033(703) 865-6490 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Daseuli Jeong NPPES

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

DASEULI JEONG (NPI 1366320970) is an individual obesity medicine provider in Fairfax, Virginia, licensed in Virginia (0024194635) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1366320970

Entity TypeIndividualFemale

Primary Taxonomy207QB0002X

Provider Legal NameDASEULI JEONG

Location Address3903 FAIR RIDGE DR STE 209Fairfax, VA 22033-2944

Mailing Address3903 Fair Ridge Dr Ste 209Fairfax, VA 22033-2944 · (703) 865-6490

Phone(703) 865-6490

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 22, 2025

Last NPPES UpdateSeptember 15, 2025

NPPES CertifiedSeptember 15, 2025

✔ NPI 1366320970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Obesity MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QB0002X

License✔ Licensed in VA · 0024194635

Definition

A family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

3903 FAIR RIDGE DR STE 209, Fairfax, VA 22033

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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

Daseuli Jeong 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 ID9133610017

PECOS Enrollment IDI20251118004757, I20251119002253

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 22033 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

Other Providers at the Same Location NPPES 15

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

GRACE ANN FOLTZ MS, RDN

Dietitian, Registered