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JIEUN DAVID M.D.
NPI 1962841536
Pediatrics - Neonatal-Perinatal Medicine in Chicago, IL

Active since June 17, 2013PECOS Enrolled
1653 W CONGRESS PKWY, 8 TOWER, CHICAGO, IL 60612(847) 707-1674 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 27, 2019, Jun 22, 2016 (2 updates tracked since 2016).

About Jieun David M.d. NPPES

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

JIEUN DAVID M.D. (NPI 1962841536) is an individual neonatal-perinatal medicine provider in Chicago, Illinois, licensed in Illinois (036-150479) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962841536
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameJIEUN DAVIDCredential: M.D.
Location Address1653 W CONGRESS PKWY, 8 TOWERChicago, IL 60612
Mailing Address1653 W Congress Pkwy, 8 TowerChicago, IL 60612 · (847) 707-1674
Phone(847) 707-1674
Sole ProprietorYes
Enumeration DateJune 17, 2013
Last NPPES UpdateAugust 27, 20192 updates tracked since enumeration
✔ NPI 1962841536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in IL · 036-150479
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 125062638 (IL)
1653 W CONGRESS PKWY, 8 TOWER, Chicago, IL 60612
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Other Names 1

Former Name (1)Jieun Kwak

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jieun David M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jieun David reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rush University Medical Center
Same address
Diagnostic Radiology
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 clinicians in this Medicare group
NPI 1184269425 (312) 563-4270
Endeavor Health Medical Group
13 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235
Children's Hospital Los Angeles Medical Group, Inc.
1,745 mi
Multi-Specialty
4650 SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
  • 1,281 clinicians in this Medicare group
NPI 1265530653 (323) 361-2337

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jieun David's NPI number?

The NPI number for Jieun David is 1962841536. It was assigned to this individual provider in the NPPES registry on June 17, 2013. The provider is also known as Jieun Kwak.

Where is Jieun David located?

Jieun David practices at 1653 W Congress Pkwy, 8 Tower, Chicago, IL 60612. The listed phone number is (847) 707-1674.

What is Jieun David's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Jieun David enrolled in Medicare?

Yes. Jieun David is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jieun David's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jieun David reassigns Medicare benefits to 3 organizations: Rush University Medical Center (Chicago, IL), Endeavor Health Medical Group (Evanston, IL) and Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA). 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 Jieun David's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jieun David accept?

Health plans from Oscar Health list Jieun David 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 Jieun David was last updated on August 27, 2019. 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.