DR. MIKE Y JEONG (DO) – Geriatric Medicine (Internal Medicine) Physician, NPI 1144251075

DR. MIKE Y JEONG (DO) is a healthcare provider. based in Las vegas, Nevada. specializing in GERIATRIC MEDICINE, HOSPICE/PALLIATIVE CARE, INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 1024 (NV). The NPI Number for DR. MIKE Y JEONG (DO) is 1144251075

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. MIKE Y JEONG (DO)
NPI
1144251075
Phone
(702) 304-2144
Address
7391 W CHARLESTON BLVD
Enumeration Date
6 July 2006
Last Update Date
20 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7029604312
Graduation Year
1995 (31 years ago)
PAC ID
2860452943
Group Practice PAC ID
5890856983
Professional Enrollment ID
I20060201000086
Address ID
NV891351151LA10401BLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

43 GERIATRIC MEDICINE in NV

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Provider Addresses for DR. MIKE Y JEONG (DO)

  • West Charleston Boulevard, 18b Arts District, Las Vegas, Clark County, Nevada, 89104-1307, United States

    SUITE 140

    LAS VEGAS, NV 891171501

    Phone: (702) 304-2144

    Fax: (702) 304-2147

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-02-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060201000086IGeriatric MedicineNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes16232$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes14754$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes7056$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes5534$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes5224$0
View full utilization report →

Insurance plans in this area (ZIP 89117)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890856983View full group profile
NameSpecialtyState
Nurse PractitionerNV

Reviews

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Frequently asked questions

What unique ID ties claims to DR. MIKE Y JEONG (DO)?
NPI 1144251075 is assigned to DR. MIKE Y JEONG (DO) under the national enumeration system.
Is DR. MIKE Y JEONG (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. MIKE Y JEONG (DO)'s specialty in plain language?
Clinically, the directory lists DR. MIKE Y JEONG (DO) with Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MIKE Y JEONG (DO)?
The page summarizes Las Vegas, Nevada for DR. MIKE Y JEONG (DO); expand the address list for detail.
What if Las Vegas, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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