KIJIN WOO DMD
NPI 1396901005
Dentist in Bloomington, IN

Q: What is Kijin Woo's NPI number?

The NPI number for Kijin Woo is 1396901005. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Q: What is Kijin Woo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kijin Woo was last updated on August 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 01, 2008PECOS Enrolled

330 N JACOB DRIVE, BLOOMINGTON, IN 47404(812) 323-7400(812) 323-7595 Get Directions Write a Review

NPPES record last updated: August 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kijin Woo Dmd NPPES

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

KIJIN WOO DMD (NPI 1396901005) is an individual dentist in Bloomington, Indiana, licensed in Indiana (12011208A) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396901005

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameKIJIN WOOCredential: DMD

Location Address330 N JACOB DRIVEBloomington, IN 47404

Mailing AddressPo Box 3189Syracuse, NY 13220 · (866) 273-8204 · Fax (866) 571-2509

Phone(812) 323-7400

Fax(812) 323-7595

Sole ProprietorNo

Enumeration DateAugust 1, 2008

✔ NPI 1396901005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12011208A

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

330 N JACOB DRIVE, Bloomington, IN 47404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kijin Woo Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47404 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

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 Kijin Woo's NPI number?

The NPI number for Kijin Woo is 1396901005. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Where is Kijin Woo located?

Kijin Woo practices at 330 N Jacob Drive, Bloomington, IN 47404. The listed phone number is (812) 323-7400.

What is Kijin Woo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kijin Woo enrolled in Medicare?

Yes. Kijin Woo is registered in the Medicare PECOS enrollment system.

What insurance does Kijin Woo accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 15 other insurers list Kijin Woo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kijin Woo was last updated on August 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.