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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TAEGYU UM MD
NPI 1649199779
Student in an Organized Health Care Education/Training Program in Bloomington, IN

Active since July 13, 2026PECOS Enrolled
2631 E DISCOVERY PKWY, BLOOMINGTON, IN 47408(812) 855-4663 Get Directions Write a Review

NPPES record added: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Taegyu Um Md NPPES

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

TAEGYU UM MD (NPI 1649199779) is an individual student in an organized health care education/training program in Bloomington, Indiana and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649199779
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTAEGYU UMCredential: MD
Location Address2631 E DISCOVERY PKWYBloomington, IN 47408-9059
Mailing Address2631 E Discovery PkwyBloomington, IN 47408-9059
Phone(812) 855-4663
Sole ProprietorNo
Enumeration DateJuly 13, 2026
NPPES CertifiedJuly 13, 2026
✔ NPI 1649199779 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.
2631 E DISCOVERY PKWY, Bloomington, IN 47408
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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)

Taegyu Um 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.

DR. ERIN ELIZABETH LYNCH AUD, PHD
Audiologist
2631 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Monroe County (812) 855-5932
MS. DANA KINNEY M.A.
Audiologist
2631 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Monroe County (812) 855-7439
DANIELLE BRIDGET HAROLD
Student in an Organized Health Care Education/Training Program
2631 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Monroe County (812) 353-5252
TAYLOR SUSTARSIC SLPD
Speech-Language Pathologist
2631 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Monroe County (765) 265-1888
JULIE ELIZABETH JONES AU.D.
Audiologist
2631 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Monroe County (812) 855-7439
JENNIFER WHITLEY
Speech-Language Pathologist
2631 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Monroe County (812) 855-3605
GUINEVERE DIADEM OGBURN PHARMD
Pharmacist (Ambulatory Care)
2631 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Monroe County (812) 918-4320
MIRACLE AUGUSTINA OKENWA MD
Student in an Organized Health Care Education/Training Program
2631 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Monroe County (812) 353-5252

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 Taegyu Um's NPI number?

The NPI number for Taegyu Um is 1649199779. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Where is Taegyu Um located?

Taegyu Um practices at 2631 E Discovery Pkwy, Bloomington, IN 47408. The listed phone number is (812) 855-4663.

What is Taegyu Um's specialty?

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

Is Taegyu Um enrolled in Medicare?

Yes. Taegyu Um is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Taegyu Um was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.