DR. JONG-WOOK BAN (M.D.) – Hospitalist Physician, NPI 1265467930

DR. JONG-WOOK BAN (M.D.) is a healthcare provider. based in Centralia, Washington. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD00044103 (WA). The NPI Number for DR. JONG-WOOK BAN (M.D.) is 1265467930

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. JONG-WOOK BAN (M.D.)
NPI
1265467930
Phone
(360) 827-7966
Address
1010 S SCHEUBER RD STE 3&4
Enumeration Date
11 July 2006
Last Update Date
5 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8888240200
Graduation Year
1997 (29 years ago)
PAC ID
1557316031
Group Practice PAC ID
7719899426
Professional Enrollment ID
I20240927001757
Address ID
IL606371443CH5841XAVEX400

Contacts

Secure Messaging
jban92429@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

1,188 HOSPITALIST in WA

Provider Addresses for DR. JONG-WOOK BAN (M.D.)

  • 1010 S SCHEUBER RD STE 3&4

    CENTRALIA, WA 985318892

    Phone: (360) 827-7966

    Fax: (360) 827-7977

    Type: Location

  • 5841 S MARYLAND AVE

    CHICAGO, IL 606371443

    Phone: (773) 702-1000

    Type: Location

  • 150 HARVESTER DR STE 300

    BURR RIDGE, IL 605275965

    Phone:

    Type: Mailing

  • 3360, Southwest 87th Avenue, Raleigh West, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083360

    Phone:

    Type: Mailing

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: 2024-09-27

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
I20050317000371IInternal MedicineWATBD
I20240927001757IHospitalistILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes182163$0
99213Established patient office or other outpatient visit, 20-29 minutes4038$0
81003Automated urinalysis test3027$0
View full utilization report →

Insurance plans in this area (ZIP 98531)

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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: 7719899426View full group profile
NameSpecialtyState
Emergency MedicineIL
N E U R O L O G YIL
General SurgeryIN
Pediatric Medicine, Emergency MedicineIL
-IL
-IL
Cardiovascular Disease (Cardiology)IL
-IL
Nurse PractitionerMI
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Is DR. JONG-WOOK BAN (M.D.) listed with a National Provider Identifier?
Yes — DR. JONG-WOOK BAN (M.D.) has NPI 1265467930 on file in the registry.
Is there an active status for DR. JONG-WOOK BAN (M.D.)?
For scheduling context, DR. JONG-WOOK BAN (M.D.) is shown as active in the registry.
What kind of doctor is DR. JONG-WOOK BAN (M.D.)?
DR. JONG-WOOK BAN (M.D.) is associated with Hospitalist Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. JONG-WOOK BAN (M.D.) located near Centralia?
DR. JONG-WOOK BAN (M.D.) currently maps to Centralia, Washington in this extract.
Can I trust this NPI listing for DR. JONG-WOOK BAN (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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