SAMUEL JONGSOO YOON
NPI 1659073278
Student in an Organized Health Care Education/Training Program in Las Vegas, NV
About Samuel Jongsoo Yoon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL JONGSOO YOON (NPI 1659073278) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
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
Samuel Jongsoo Yoon 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 Samuel Yoon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Myers, FL 33908
- Reassigned Medicare billing, Florida enrollment
- 1,899 clinicians in this Medicare group
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAS VEGAS, NV 89128
LAS VEGAS, NV 89128
LAS VEGAS, NV 89128
LAS VEGAS, NV 89128
LAS VEGAS, NV 89128
LAS VEGAS, NV 89128
LAS VEGAS, NV 89128
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 Samuel Yoon's NPI number?
The NPI number for Samuel Yoon is 1659073278. It was assigned to this individual provider in the NPPES registry on March 20, 2023.
Where is Samuel Yoon located?
Samuel Yoon practices at 2880 N Tenaya Way, Las Vegas, NV 89128. The listed phone number is (702) 962-9549.
What is Samuel Yoon's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Samuel Yoon enrolled in Medicare?
Yes. Samuel Yoon 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 Samuel Yoon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Yoon reassigns Medicare benefits to Lee Health System Inc (Fort Myers, FL). 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 Samuel Yoon'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 Samuel Yoon was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 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.
# Samuel Jongsoo Yoon · NPI 1659073278
Student in an Organized Health Care Education/Training Program provider in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since March 20, 2023.
## Identity
- **NPI:** 1659073278 (Entity type: Individual)
- **Enumerated:** March 20, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2880 N TENAYA WAY, Las Vegas, NV 89128-0618
- **Phone:** (702) 962-9549
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lee Health System Inc (NPI 1942058557, Fort Myers, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1659073278) · Data from the CMS NPPES public registry.