JIYONG MOON MD
NPI 1922518091
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Ann Arbor, MI
About Jiyong Moon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIYONG MOON MD (NPI 1922518091) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Ann Arbor, Michigan, licensed in Michigan (4301111659) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jiyong Moon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jiyong Moon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ann Arbor, MI 48109
- Reassigned Medicare billing, Michigan enrollment
- 2,377 clinicians in this Medicare group
Round Rock, TX 78681
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Dell Childrens Medical Group
- 576 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
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 Jiyong Moon's NPI number?
The NPI number for Jiyong Moon is 1922518091. It was assigned to this individual provider in the NPPES registry on October 3, 2017.
Where is Jiyong Moon located?
Jiyong Moon practices at 1500 E Medical Center Dr 11th Floor Cs Mott Childrens Hospital, Ann Arbor, MI 48109. The listed phone number is (734) 936-4978.
What is Jiyong Moon's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Jiyong Moon enrolled in Medicare?
Yes. Jiyong Moon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jiyong Moon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jiyong Moon reassigns Medicare benefits to 2 organizations: Regents Of The University Of Michigan (Ann Arbor, MI) and Dell Children's Medical Group (Round Rock, TX). Each 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 Jiyong Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jiyong Moon accept?
Health plans from Blue Cross and Blue Shield of Texas, Harbor Health, Moda Health Plan, Inc., Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Jiyong Moon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jiyong Moon was last updated on December 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jiyong Moon, MD · NPI 1922518091
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Ann Arbor, Michigan. Individual provider, active in the CMS NPPES registry since October 3, 2017.
## Identity
- **NPI:** 1922518091 (Entity type: Individual)
- **Enumerated:** October 3, 2017
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** 4301111659 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 E MEDICAL CENTER DR, 11TH FLOOR CS MOTT CHILDRENS HOSPITAL, Ann Arbor, MI 48109-4204
- **Phone:** (734) 936-4978
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of Michigan (NPI 1003848144, Ann Arbor, MI); Dell Children's Medical Group (NPI 1790103869, Round Rock, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 28, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1922518091) · Data from the CMS NPPES public registry.