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DR. SEONGJOON PYUN MD
NPI 1891480760
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 06, 2023PECOS Enrolled
111 S 11TH ST STE 8290, PHILADELPHIA, PA 19107(215) 955-2370(215) 955-0677 Get Directions Write a Review

NPPES record last updated: June 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 15, 2024, Apr 6, 2023 (2 updates tracked since 2023).

About Dr. Seongjoon Pyun Md NPPES

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

DR. SEONGJOON PYUN MD (NPI 1891480760) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891480760
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SEONGJOON PYUNCredential: MD
Location Address111 S 11TH ST STE 8290Philadelphia, PA 19107-4870
Mailing Address111 S 11th St Ste 8290Philadelphia, PA 19107-4870 · (215) 955-2370 · Fax (215) 955-0677
Phone(215) 955-2370
Fax(215) 955-0677
Sole ProprietorNo
Enumeration DateApril 6, 2023
Last NPPES UpdateJune 15, 20242 updates tracked since enumeration
NPPES CertifiedJune 15, 2024
✔ NPI 1891480760 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.
111 S 11TH ST STE 8290, Philadelphia, PA 19107
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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. Seongjoon Pyun 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.

JESSICA TAN MD, PHD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
MICHAEL ROBERT SISKO MD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
SEAN WASHEK
Anesthesiology
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9837
DR. NUPUR RAJEEV HEGDE DO
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
ANGELA YANG MD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
KHANH BUI
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
DAVID SWEENEY RUBIN DO
Anesthesiology
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
STUTI TANK MD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370

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 Seongjoon Pyun's NPI number?

The NPI number for Seongjoon Pyun is 1891480760. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Seongjoon Pyun located?

Seongjoon Pyun practices at 111 S 11th St Ste 8290, Philadelphia, PA 19107. The listed phone number is (215) 955-2370.

What is Seongjoon Pyun's specialty?

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

Is Seongjoon Pyun enrolled in Medicare?

Yes. Seongjoon Pyun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Seongjoon Pyun was last updated on June 15, 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.