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DR. YOUNGWON RYU
NPI 1669216594
Student in an Organized Health Care Education/Training Program in Fort Bliss, TX

Active since June 25, 2024PECOS Enrolled
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906(915) 742-0399(915) 742-0724 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Youngwon Ryu NPPES

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

DR. YOUNGWON RYU (NPI 1669216594) is an individual student in an organized health care education/training program in Fort Bliss, Texas and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669216594
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. YOUNGWON RYU
Location Address18511 HIGHLANDER MEDICS STFort Bliss, TX 79906-5327
Mailing Address18511 Highlander Medics StFort Bliss, TX 79906-5327 · (915) 742-0399 · Fax (915) 742-0724
Phone(915) 742-0399
Fax(915) 742-0724
Sole ProprietorNo
Enumeration DateJune 25, 2024
NPPES CertifiedJune 24, 2024
✔ NPI 1669216594 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.
18511 HIGHLANDER MEDICS ST, Fort Bliss, TX 79906
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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)

Dr. Youngwon Ryu 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.

MS. ROCIO ERIKA SAMANIEGO
Social Worker (Clinical)
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-2800
DR. GEORGE CORTINAS PHARMD
Pharmacist
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (214) 535-5955
DR. JAMESON EVERETT HOFFMAN DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
18511 HIGHLANDER MEDICS ST
EL PASO, TX 79906
El Paso County (915) 742-9788
EUNICE SHIM
Student in an Organized Health Care Education/Training Program
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-0576
DR. KATHRYN ANZOLA PT, DPT
Physical Therapist (Orthopedic)
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-0238
TIMOTHY ERIC HOELL PA-C
Physician Assistant
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-4248
WILLIAM D MCCLELLAND MD
General Practice
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-0576
DR. MICHAEL PATRICK AVILLION MD
Otolaryngology
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-2273

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 Youngwon Ryu's NPI number?

The NPI number for Youngwon Ryu is 1669216594. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Youngwon Ryu located?

Youngwon Ryu practices at 18511 Highlander Medics St, Fort Bliss, TX 79906. The listed phone number is (915) 742-0399.

What is Youngwon Ryu's specialty?

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

Is Youngwon Ryu enrolled in Medicare?

Yes. Youngwon Ryu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Youngwon Ryu was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.