SHINYEONG JEONG MD
NPI 1609458363
Student in an Organized Health Care Education/Training Program in Kingwood, TX

Active since April 22, 2021PECOS Enrolled
22999 US 59 N, SUITE 105, KINGWOOD, TX 77339(281) 348-8000 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shinyeong Jeong Md NPPES

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

SHINYEONG JEONG MD (NPI 1609458363) is an individual student in an organized health care education/training program in Kingwood, Texas and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609458363
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHINYEONG JEONGCredential: MD
Location Address22999 US 59 N, SUITE 105Kingwood, TX 77339
Mailing Address22999 Us 59 N, Suite 105Kingwood, TX 77339
Sole ProprietorNo
Enumeration DateApril 22, 2021
NPPES CertifiedMarch 29, 2021
NPI 1609458363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

22999 US 59 N, Kingwood, TX 77339

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shinyeong Jeong 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 4

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

Dietitian, Registered
22999 US 59 N
KINGWOOD, TX 77339
Internal Medicine
22999 US 59 N
KINGWOOD, TX 77339
Emergency Medicine
22999 US 59 N
KINGWOOD, TX 77339
Emergency Medicine
22999 US 59 N
KINGWOOD, TX 77339

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609458363, enumerated as an "individual" on April 22, 2021.

The provider is located at 22999 US 59 N SUITE 105 KINGWOOD, TX 77339 and the phone number is (281) 348-8000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.