HAEOH M JUNG (MD) – Anesthesiology Physician, NPI 1275518573

HAEOH M JUNG (MD) is a healthcare provider. based in Kinzers, Pennsylvania. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. MD058147L (PA). The NPI Number for HAEOH M JUNG (MD) is 1275518573

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
HAEOH M JUNG (MD)
NPI
1275518573
Phone
(215) 858-0203
Address
930 HILLCREST DR
Enumeration Date
8 December 2005
Last Update Date
18 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
2159383413
Graduation Year
1991 (35 years ago)
PAC ID
8527088905
Group Practice PAC ID
6406742642
Professional Enrollment ID
I20051130000377
Address ID
PA190468001ME1648XPIKE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,825 ANESTHESIOLOGY in PA

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Provider Addresses for HAEOH M JUNG (MD)

  • 930 HILLCREST DR

    KINZERS, PA 175359620

    Phone: (215) 858-0203

    Type: Mailing

  • 325, South Belmont Street, Elmwood, Spring Garden Township, York County, Pennsylvania, 17403, United States

    YORK, PA 174032608

    Phone: (717) 843-8623

    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: 2018-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20051130000377IAnesthesiologyPATBD
I20181204003165IAnesthesiologyDETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 17535)

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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: 6406742642View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)PA
Anesthesiology, Pain ManagementPA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)NJ
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

Is there an official ID for HAEOH M JUNG (MD) in U.S. healthcare records?
The official identifier for HAEOH M JUNG (MD) is NPI 1275518573.
Is HAEOH M JUNG (MD) still an active registrant?
HAEOH M JUNG (MD) carries an active NPI according to the public dataset.
What kind of doctor is HAEOH M JUNG (MD)?
HAEOH M JUNG (MD) is associated with Anesthesiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is HAEOH M JUNG (MD) registered?
Use Kinzers, Pennsylvania as the headline location for HAEOH M JUNG (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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