JI MIN (DO) – Anesthesiology Physician, NPI 1104237163

JI MIN (DO) is a healthcare provider. based in Camp hill, Pennsylvania. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. OS019246 (PA). The NPI Number for JI MIN (DO) is 1104237163

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JI MIN (DO)
NPI
1104237163
Phone
(717) 763-2126
Address
PO BOX 1050
Enumeration Date
13 May 2014
Last Update Date
12 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7177632100
Graduation Year
2014 (12 years ago)
PAC ID
2264788678
Group Practice PAC ID
4880506443
Professional Enrollment ID
I20180627001201
Address ID
PA170112204CA503XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,825 ANESTHESIOLOGY in PA

Provider Addresses for JI MIN (DO)

  • PO BOX 1050

    CAMP HILL, PA 170011050

    Phone: (717) 763-2126

    Fax: (717) 975-0799

    Type: Mailing

  • 503 N 21ST ST

    CAMP HILL, PA 17011

    Phone: (717) 763-2126

    Fax: (717) 975-0779

    Type: Location

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: 2018-06-27

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
I20180627001201IAnesthesiologyPATBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1313$0
00145Anesthesia for retinal surgery1111$0
View full utilization report →

Insurance plans in this area (ZIP 17001)

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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: 4880506443View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YPA
Anesthesiology, Interventional Pain ManagementPA
Interventional Pain Management, AnesthesiologyPA
Anesthesiology, Pain ManagementPA
A N E S T H E S I O L O G YKY
Pain Management, AnesthesiologyWI
A N E S T H E S I O L O G YPA
A N E S T H E S I O L O G YPA
Anesthesiology, Pain ManagementPA
-PA

Reviews

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Frequently asked questions

What is the registry number for JI MIN (DO)?
The registry entry for JI MIN (DO) shows NPI 1104237163.
Should I treat JI MIN (DO) as an active provider?
Patients and plans typically see JI MIN (DO) as active in the national extract.
How should patients interpret JI MIN (DO)'s specialty?
The extract shows Anesthesiology Physician for JI MIN (DO). Clinical services aligned with this taxonomy classification.
Can patients visit JI MIN (DO) in Camp Hill, Pennsylvania?
For routing, start with Camp Hill, Pennsylvania for JI MIN (DO), then verify phone and hours locally.
Why is information missing for JI MIN (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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