YAE SUL JEONG MD
NPI 1487039988
Pediatrics - Pediatric Emergency Medicine in Columbus, OH

Active since July 25, 2015PECOS EnrolledAccepts Medicare Assignment
700 CHILDRENS DR, COLUMBUS, OH 43205(614) 722-2000 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 13, 2022, Jun 10, 2021 (2 updates tracked since 2021).

About Yae Sul Jeong Md NPPES

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

YAE SUL JEONG MD (NPI 1487039988) is an individual pediatric emergency medicine provider in Columbus, Ohio, licensed in Ohio (35.145171) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1487039988
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameYAE SUL JEONGCredential: MD
Location Address700 CHILDRENS DRColumbus, OH 43205-2664
Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 25, 2015
Last NPPES UpdateSeptember 13, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
✔ NPI 1487039988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in OH · 35.145171
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
700 CHILDRENS DR, Columbus, OH 43205

Secondary Practice Locations 8

Location 16435 E Broad StColumbus, OH 43213-1507 · Phone (614) 355-8100
Location 2100 Colemans XingMarysville, OH 43040-7080 · Phone (937) 578-7600
Location 3433 N Cleveland AveWesterville, OH 43082-8095 · Phone (614) 355-8300
Location 47450 Hospital Dr Ste 100Dublin, OH 43016-8364 · Phone (614) 355-7000
Location 57901 Diley Rd Ste 150Canal Winchester, OH 43110-9613 · Phone (614) 355-9050
Location 67853 Pacer DrDelaware, OH 43015-7571 · Phone (614) 355-7900
Location 7444 Butterfly Gardens DrColumbus, OH 43215-3427 · Phone (614) 722-2000
Location 84363 All Seasons Dr Ste 100Hilliard, OH 43026-2050 · Phone (614) 355-5900

Other Identifiers 1

Medicaid0484963OH

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

Yae Sul Jeong 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 ID7719394022
PECOS Enrollment IDI20220720003025
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 Reassignments

2

Medicare enrollment records show Yae Sul Jeong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 976 clinicians in this Medicare group
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 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.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
700 CHILDRENS DR
COLUMBUS, OH 43205
Pediatrics
700 CHILDRENS DR
COLUMBUS, OH 43205
Surgery
700 CHILDRENS DR, CCPR
COLUMBUS, OH 43205
Pediatrics (Pediatric Emergency Medicine)
700 CHILDRENS DR
COLUMBUS, OH 43205
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Pediatrics (Pediatric Emergency Medicine)
700 CHILDRENS DR
COLUMBUS, OH 43205
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Nurse Practitioner (Pediatrics)
700 CHILDRENS DR
COLUMBUS, OH 43205

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 Yae Sul Jeong's NPI number?

The NPI number for Yae Sul Jeong is 1487039988. It was assigned to this individual provider in the NPPES registry on July 25, 2015.

Where is Yae Sul Jeong located?

Yae Sul Jeong practices at 700 Childrens Dr, Columbus, OH 43205. The listed phone number is (614) 722-2000.

What is Yae Sul Jeong's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Yae Sul Jeong enrolled in Medicare?

Yes. Yae Sul Jeong 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 organizations bill Medicare for Yae Sul Jeong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yae Sul Jeong reassigns Medicare benefits to 2 organizations: Nationwide Children's Hospital (Columbus, OH) and Pediatric Academic Association, Inc. (Columbus, OH). Each 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 Yae Sul Jeong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yae Sul Jeong accept?

Health plans from Antidote Health Plan of Ohio, Inc. list Yae Sul Jeong 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 Yae Sul Jeong was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.