JEREMIAH TAEJONG OH PHYSICIAN ASSISTANT
NPI 1366711905
Physician Assistant in Virginia Beach, VA

Active since December 28, 2011PECOS EnrolledAccepts Medicare Assignment
1605 GENERAL BOOTH BLVD, VIRGINIA BEACH, VA 23454(757) 721-0512 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2023, Dec 21, 2021 (2 updates tracked since 2021).

About Jeremiah Taejong Oh Physician Assistant NPPES

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

JEREMIAH TAEJONG OH PHYSICIAN ASSISTANT (NPI 1366711905) is an individual physician assistant in Virginia Beach, Virginia, licensed in Virginia (0110006500) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (2011).

NPPES Registry Identity

NPI1366711905
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJEREMIAH TAEJONG OHCredential: PHYSICIAN ASSISTANT
Location Address1605 GENERAL BOOTH BLVDVirginia Beach, VA 23454-5691
Mailing Address3241 Western Branch Blvd, Ste AChesapeake, VA 23321-5260 · (757) 686-3508 · Fax (757) 686-0541
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2011
Enumeration DateDecember 28, 2011
Last NPPES UpdateJanuary 9, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
NPI 1366711905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VA · 0110006500
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1605 GENERAL BOOTH BLVD, Virginia Beach, VA 23454

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

Jeremiah Taejong Oh Physician Assistant 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 ID4284025099
PECOS Enrollment IDI20220104002651
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
47 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services30 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
23 services23 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
22 services22 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
20 services20 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23454 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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 16

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

Nurse Practitioner (Family)
1605 GENERAL BOOTH BLVD
VIRGINIA BEACH, VA 23454
Emergency Medicine
1605 GENERAL BOOTH BLVD
VIRGINIA BEACH, VA 23454
Family Medicine
1605 GENERAL BOOTH BLVD
VIRGINIA BEACH, VA 23454
Physician Assistant
1605 GENERAL BOOTH BLVD
VIRGINIA BEACH, VA 23454
Physician Assistant
1605 GENERAL BOOTH BLVD
VIRGINIA BEACH, VA 23454
Family Medicine
1605 GENERAL BOOTH BLVD
VIRGINIA BEACH, VA 23454
Family Medicine
1605 GENERAL BOOTH BLVD
VIRGINIA BEACH, VA 23454
Family Medicine
1605 GENERAL BOOTH BLVD
VIRGINIA BEACH, VA 23454

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 Jeremiah Oh's NPI number?

The NPI number for Jeremiah Oh is 1366711905. It was assigned to this individual provider in the NPPES registry on December 28, 2011.

Where is Jeremiah Oh located?

Jeremiah Oh practices at 1605 General Booth Blvd, Virginia Beach, VA 23454. The listed phone number is (757) 721-0512.

What is Jeremiah Oh's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jeremiah Oh enrolled in Medicare?

Yes. Jeremiah Oh 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 Jeremiah Oh was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.