ILKYU DAVID OH MD
NPI 1457988412
Radiology - Diagnostic Radiology in Dallas, TX

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
5323 HARRY HINES BLVD, DALLAS, TX 75390(404) 717-6667 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 2, 2025, May 20, 2025, Mar 26, 2020 (3 updates tracked since 2020).

About Ilkyu David Oh Md NPPES

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

ILKYU DAVID OH MD (NPI 1457988412) is an individual diagnostic radiology provider in Dallas, Texas, licensed in Texas (V0493) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Other (2020).

NPPES Registry Identity

NPI1457988412
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameILKYU DAVID OHCredential: MD
Location Address5323 HARRY HINES BLVDDallas, TX 75390-1101
Mailing AddressPo Box 845347Dallas, TX 75284-5347
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 26, 2020
Last NPPES UpdateJuly 2, 20253 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1457988412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in TX · V0493
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
5323 HARRY HINES BLVD, Dallas, TX 75390

Accepted Insurance

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

Ilkyu David Oh Md 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 ID2466875869
PECOS Enrollment IDI20250514002573
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.

Medicare Billing Reassignment

Medicare enrollment records show Ilkyu Oh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurse Anesthetist, Certified Registered
5323 HARRY HINES BLVD
Dallas, TX 75390
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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 20

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

Physician Assistant
5323 HARRY HINES BLVD
DALLAS, TX 75390
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Internal Medicine (Infectious Disease)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pain Medicine (Interventional Pain Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Emergency Medicine
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pediatrics (Neonatal-Perinatal Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390

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 Ilkyu Oh's NPI number?

The NPI number for Ilkyu Oh is 1457988412. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Ilkyu Oh located?

Ilkyu Oh practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (404) 717-6667.

What is Ilkyu Oh's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Ilkyu Oh enrolled in Medicare?

Yes. Ilkyu 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.

Which organization bills Medicare for Ilkyu Oh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ilkyu Oh reassigns Medicare benefits to University Of Texas Southwestern Medical Center At Dallas (Dallas, TX). 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 Ilkyu Oh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ilkyu Oh accept?

Health plans from Blue Cross and Blue Shield of Texas list Ilkyu Oh 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.

Is Ilkyu Oh affiliated with any hospitals?

According to CMS data, Ilkyu Oh is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Ilkyu Oh was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.