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HEESUNG MOON MD
NPI 1497459929
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 28, 2023PECOS Enrolled
736 CAMBRIDGE ST, BOSTON, MA 02135(617) 789-3000 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heesung Moon Md NPPES

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

HEESUNG MOON MD (NPI 1497459929) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497459929
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHEESUNG MOONCredential: MD
Location Address736 CAMBRIDGE STBoston, MA 02135-2907
Mailing Address736 Cambridge StBoston, MA 02135-2907
Phone(617) 789-3000
Sole ProprietorNo
Enumeration DateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
✔ NPI 1497459929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
736 CAMBRIDGE ST, Boston, MA 02135
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heesung Moon Md 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.

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.

SOOWHAN LAH M.D.
Internal Medicine
736 CAMBRIDGE ST, INTERNAL MEDICINE RESIDENCY PROGRAM - MAILBOX #13
BOSTON, MA 02135
Suffolk County (503) 886-9722
DR. MAHENDRA CARPEN MD
Internal Medicine (Cardiovascular Disease)
736 CAMBRIDGE ST, DEPT. OF CARDIOLOGY
BRIGHTON, MA 02135
Suffolk County (617) 789-5151
MONIKA BATRA
Psychiatry & Neurology (Psychiatry)
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Suffolk County (617) 789-3000
RONYA OZTURK
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE ST
BOSTON, MA 02135
Suffolk County (617) 789-3000
ALEXANDER H HU MD
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Suffolk County (617) 789-3000
DR. ANAS AHMED SAMBAWAH M.D
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Suffolk County (617) 789-2990
ORFEAS LIANGOS M.D.
Internal Medicine (Nephrology)
736 CAMBRIDGE ST, ST ELIZABETHS MED CTR
BOSTON, MA 02135
Suffolk County (617) 789-3100
LORI H ADCOCK M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Suffolk County (617) 789-2740

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 Heesung Moon's NPI number?

The NPI number for Heesung Moon is 1497459929. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Heesung Moon located?

Heesung Moon practices at 736 Cambridge St, Boston, MA 02135. The listed phone number is (617) 789-3000.

What is Heesung Moon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Heesung Moon enrolled in Medicare?

Yes. Heesung Moon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Heesung Moon was last updated on March 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.