DR. KYUNG WOOK MOON D.C.
NPI 1528454774
Chiropractor in Annandale, VA
About Dr. Kyung Wook Moon D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KYUNG WOOK MOON D.C. (NPI 1528454774) is an individual chiropractor in Annandale, Virginia, licensed in Virginia (0104557226) and active in the NPI registry since April 2015. He is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Kyung Wook Moon D.c. 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 Kyung Wook Moon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Annandale, VA 22003
- Reassigned Medicare billing, District of Columbia enrollment
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kyung Wook Moon's NPI number?
The NPI number for Kyung Wook Moon is 1528454774. It was assigned to this individual provider in the NPPES registry on April 14, 2015.
Where is Kyung Wook Moon located?
Kyung Wook Moon practices at 7360 Mcwhorter Pl Suite 100, Annandale, VA 22003. The listed phone number is (703) 354-8111.
What is Kyung Wook Moon's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Kyung Wook Moon enrolled in Medicare?
Yes. Kyung Wook Moon 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 Kyung Wook Moon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyung Wook Moon reassigns Medicare benefits to Tig LLC (Annandale, VA). 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 Kyung Wook Moon'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 Kyung Wook Moon was last updated on May 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Kyung Wook Moon, D.C. · NPI 1528454774
Chiropractor provider in Annandale, Virginia. Individual provider, active in the CMS NPPES registry since April 14, 2015.
## Identity
- **NPI:** 1528454774 (Entity type: Individual)
- **Enumerated:** April 14, 2015
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 0104557226 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 7360 MCWHORTER PL, SUITE 100, Annandale, VA 22003-5633
- **Phone:** (703) 354-8111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Tig LLC (NPI 1356871461, Annandale, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** May 12, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1528454774) · Data from the CMS NPPES public registry.