DR. JUNGWOO EDDERS MD
NPI 1508667619
Student in an Organized Health Care Education/Training Program in El Paso, TX
About Dr. Jungwoo Edders Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUNGWOO EDDERS MD (NPI 1508667619) is an individual student in an organized health care education/training program in El Paso, Texas and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jungwoo Edders Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
EL PASO, TX 79925
EL PASO, TX 79925
EL PASO, TX 79925
EL PASO, TX 79925
EL PASO, TX 79925
EL PASO, TX 79925
EL PASO, TX 79925
EL PASO, TX 79925
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 Jungwoo Edders's NPI number?
The NPI number for Jungwoo Edders is 1508667619. It was assigned to this individual provider in the NPPES registry on March 24, 2025. The provider is also known as Dr. Jungwoo Park MD.
Where is Jungwoo Edders located?
Jungwoo Edders practices at 10175 Gateway Blvd W Ste 140, El Paso, TX 79925. The listed phone number is (915) 283-3953.
What is Jungwoo Edders's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jungwoo Edders enrolled in Medicare?
Yes. Jungwoo Edders is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jungwoo Edders was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Jungwoo Edders, MD · NPI 1508667619
Student in an Organized Health Care Education/Training Program provider in El Paso, Texas. Individual provider, active in the CMS NPPES registry since March 24, 2025.
## Identity
- **NPI:** 1508667619 (Entity type: Individual)
- **Enumerated:** March 24, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 10175 GATEWAY BLVD W STE 140, El Paso, TX 79925-2203
- **Phone:** (915) 283-3953
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508667619) · Data from the CMS NPPES public registry.