JI-SUK MOON DO
NPI 1952831133
Internal Medicine - Critical Care Medicine in Ocala, FL

Q: What is Ji-suk Moon's NPI number?

The NPI number for Ji-suk Moon is 1952831133. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Q: What is Ji-suk Moon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Ji-suk Moon was last updated on January 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 19, 2017PECOS EnrolledAccepts Medicare Assignment

1500 SW 1ST AVE, OCALA, FL 34471(352) 351-7200 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 19, 2026, Sep 15, 2025, May 9, 2023 and 3 more (6 updates tracked since 2017).

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About Ji-suk Moon Do NPPES

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

JI-SUK MOON DO (NPI 1952831133) is an individual critical care medicine provider in Ocala, Florida, licensed in Florida (OS19714) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1952831133

Entity TypeIndividualFemale

Primary Taxonomy207RC0200X

Provider Legal NameJI-SUK MOONCredential: DO

Location Address1500 SW 1ST AVEOcala, FL 34471-6516

Mailing Address900 Hope WayAltamonte Springs, FL 32714-1502 · (407) 357-1892 · Fax (407) 357-1679

Phone(352) 351-7200

Sole ProprietorYes

Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2017

Enumeration DateJune 19, 2017

Last NPPES UpdateJanuary 19, 20266 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2026

✔ NPI 1952831133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in FL · OS19714

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 0102205805 (VA), 0116030466 (VA)

1500 SW 1ST AVE, Ocala, FL 34471

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Secondary Practice Location 1

Location 1601 E Rollins StOrlando, FL 32803-1248 · Phone (407) 303-5600

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

Ji-suk 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 ID2264702158

PECOS Enrollment IDI20251028001374

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Adventhealth Ocala

Acute Care Hospitals · Ocala, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100062

Location1500 SW 1st AveOcala, FL 34474 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34471 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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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.

JORGE MARTIN LOPEZ DA RE M.D.

Pediatrics (Neonatal-Perinatal Medicine)