HEEJU RYU
NPI 1386105047
Marriage & Family Therapist in San Jose, CA
About Heeju Ryu NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEEJU RYU (NPI 1386105047) is an individual marriage & family therapist in San Jose, California, licensed in California (AMFT134341) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Heeju Ryu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Heeju Ryu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95128
- Reassigned Medicare billing, California enrollment
- 63 clinicians in this Medicare group
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.
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 Heeju Ryu's NPI number?
The NPI number for Heeju Ryu is 1386105047. It was assigned to this individual provider in the NPPES registry on March 26, 2019.
Where is Heeju Ryu located?
Heeju Ryu practices at 2400 Moorpark Ave Ste 300, San Jose, CA 95128. The listed phone number is (408) 284-9080.
What is Heeju Ryu's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Heeju Ryu enrolled in Medicare?
Yes. Heeju Ryu is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Heeju Ryu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heeju Ryu reassigns Medicare benefits to Asian Americans For Community Involvement Of Santa Clara County, Inc (San Jose, CA). 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 Heeju Ryu'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 Heeju Ryu was last updated on June 28, 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.
# Heeju Ryu · NPI 1386105047
Marriage & Family Therapist provider in San Jose, California. Individual provider, active in the CMS NPPES registry since March 26, 2019.
## Identity
- **NPI:** 1386105047 (Entity type: Individual)
- **Enumerated:** March 26, 2019
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** AMFT134341 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2400 MOORPARK AVE STE 300, San Jose, CA 95128-2680
- **Phone:** (408) 284-9080
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Asian Americans For Community Involvement Of Santa Clara County, Inc (NPI 1326052291, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 28, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1386105047) · Data from the CMS NPPES public registry.