Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since June 19, 2017PECOS Enrolled
1500 SW 1ST AVE, OCALA, FL 34471(352) 351-7200 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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

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 5 additional practice locations.

NPPES Registry Identity

NPI1952831133
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameJI-SUK MOONCredential: DO
Location Address1500 SW 1ST AVEOcala, FL 34471-6516
Mailing Address220 Campus Blvd Ste 320Winchester, VA 22601-2889 · (540) 536-5100 · Fax (540) 536-0235
Sole ProprietorYes
Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2017
Enumeration DateJune 19, 2017
Last NPPES UpdateOctober 22, 20266 updates tracked since enumeration
NPPES CertifiedOctober 22, 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

Secondary Practice Locations 5

Location 1759 S Main StWoodstock, VA 22664-1154 · Phone (540) 459-1100 · Fax (540) 459-1121
Location 2601 E Rollins StOrlando, FL 32803-1248 · Phone (407) 303-5600
Location 31840 Amherst StWinchester, VA 22601-2808 · Phone (540) 536-6389 · Fax (540) 536-6625
Location 4351 Valley Health WayFront Royal, VA 22630-3598 · Phone (540) 636-0300 · Fax (540) 636-0427
Location 5200 Memorial DrLuray, VA 22835-1000 · Phone (540) 743-4561 · Fax (540) 743-9560

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Ji-suk Moon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 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.

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.

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.

Pediatrics (Neonatal-Perinatal Medicine)
1500 SW 1ST AVE
OCALA, FL 34471
Registered Nurse
1500 SW 1ST AVE
OCALA, FL 34471
Dietitian, Registered
1500 SW 1ST AVE
OCALA, FL 34471
Internal Medicine
1500 SW 1ST AVE
OCALA, FL 34471
Pediatrics
1500 SW 1ST AVE
OCALA, FL 34471
Nurse Anesthetist, Certified Registered
1500 SW 1ST AVE
OCALA, FL 34471
Anesthesiology
1500 SW 1ST AVE
OCALA, FL 34471
Emergency Medicine
1500 SW 1ST AVE
OCALA, FL 34471

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 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.

Where is Ji-suk Moon located?

Ji-suk Moon practices at 1500 SW 1st Ave, Ocala, FL 34471. The listed phone number is (352) 351-7200.

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.

Is Ji-suk Moon enrolled in Medicare?

Yes. Ji-suk Moon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ji-suk Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ji-suk Moon reassigns Medicare benefits to Florida Hospital Medical Group Inc (Orlando, FL). The 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 Ji-suk Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ji-suk Moon affiliated with any hospitals?

According to CMS data, Ji-suk Moon is affiliated with Adventhealth Orlando and Adventhealth Ocala.

When was this NPI record last updated?

The NPPES record for Ji-suk Moon was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.