EDWARD JIWON YOON M.D.
NPI 1417338633
Pathology - Clinical Pathology in Rockville, MD
About Edward Jiwon Yoon M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD JIWON YOON M.D. (NPI 1417338633) is an individual clinical pathology provider in Rockville, Maryland, licensed in Pennsylvania (MD460417) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Edward Jiwon Yoon M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Edward Yoon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kensington, MD 20895
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- Also billed through NPI 1225156367 (Virginia)
- 2,492 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20852 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROCKVILLE, MD 20852
ROCKVILLE, MD 20852
ROCKVILLE, MD 20852
ROCKVILLE, MD 20852
ROCKVILLE, MD 20852
ROCKVILLE, MD 20852
ROCKVILLE, MD 20852
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 Edward Yoon's NPI number?
The NPI number for Edward Yoon is 1417338633. It was assigned to this individual provider in the NPPES registry on June 12, 2015.
Where is Edward Yoon located?
Edward Yoon practices at 6111 Executive Blvd, Rockville, MD 20852. The listed phone number is (202) 779-1654.
What is Edward Yoon's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology, with taxonomy code 207ZC0006X.
Is Edward Yoon enrolled in Medicare?
Yes. Edward Yoon 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.
Which organization bills Medicare for Edward Yoon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Yoon reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Kensington, MD). 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 Edward Yoon'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 Edward Yoon was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Edward Jiwon Yoon, M.D. · NPI 1417338633
Clinical Pathology physician in Rockville, Maryland. Individual provider, active in the CMS NPPES registry since June 12, 2015.
## Identity
- **NPI:** 1417338633 (Entity type: Individual)
- **Enumerated:** June 12, 2015
- **Primary specialty:** Pathology - Clinical Pathology · taxonomy 207ZC0006X
- **State license:** MD460417 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 6111 EXECUTIVE BLVD, Rockville, MD 20852-3911
- **Phone:** (202) 779-1654
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1376601872, Kensington, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** June 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1417338633) · Data from the CMS NPPES public registry.