TAE MIN MOON DO
NPI 1952096216
Family Medicine in Newport News, VA

Q: What is Tae Moon's NPI number?

The NPI number for Tae Moon is 1952096216. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Q: What is Tae Moon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tae Moon was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since April 11, 2023PECOS EnrolledAccepts Medicare Assignment

10510 JEFFERSON AVE STE A, NEWPORT NEWS, VA 23601(757) 594-3800(757) 591-9021 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Tae Min Moon Do NPPES

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

TAE MIN MOON DO (NPI 1952096216) is an individual family medicine provider in Newport News, Virginia, licensed in Virginia (0102209363) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Virginia Beach, and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2023).

NPPES Registry Identity

NPI1952096216

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTAE MIN MOONCredential: DO

Location Address10510 JEFFERSON AVE STE ANewport News, VA 23601-3102

Mailing Address10510 Jefferson Ave Ste ANewport News, VA 23601-3102 · (757) 594-3800 · Fax (757) 591-9021

Phone(757) 594-3800

Fax(757) 591-9021

Sole ProprietorNo

Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2023

Enumeration DateApril 11, 2023

Last NPPES UpdateJuly 21, 2025

NPPES CertifiedJuly 21, 2025

✔ NPI 1952096216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0102209363

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10510 JEFFERSON AVE STE A, Newport News, VA 23601

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Secondary Practice Location 1

Location 1332 Newtown RdVirginia Beach, VA 23462-1793 · Phone (757) 473-8400

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tae Min Moon Do 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.

PECOS PAC ID2466812441

PECOS Enrollment IDI20250804002449, I20250813000183

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. DANIEL JASON FRASCA D.O.

Family Medicine