DR. JEANA SO RYONG OH (MD) – Diagnostic Radiology Physician, NPI 1366555070

DR. JEANA SO RYONG OH (MD) is a healthcare provider. based in Tacoma, Washington. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD00049007 (WA). The NPI Number for DR. JEANA SO RYONG OH (MD) is 1366555070

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEANA SO RYONG OH (MD)
NPI
1366555070
Phone
(253) 761-4200
Address
PO BOX 1535
Enumeration Date
16 August 2006
Last Update Date
30 August 2024

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
2537592622
Graduation Year
1998 (28 years ago)
PAC ID
9133177702
Group Practice PAC ID
8022172212
Professional Enrollment ID
I20080326000936
Address ID
WA984051106TA4525XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,262 DIAGNOSTIC RADIOLOGY in WA

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Provider Addresses for DR. JEANA SO RYONG OH (MD)

  • Tacoma, Moray Street, Blackford, Perth and Kinross, Scotland, PH4 1QF, United Kingdom

    TACOMA, WA 984011535

    Phone: (253) 761-4200

    Fax: (253) 383-3553

    Type: Mailing

  • Fawcett Avenue, Brewery District, Tacoma, Pierce County, Washington, 98402, United States

    TACOMA, WA 984021900

    Phone: (253) 761-4200

    Fax: (253) 383-3553

    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: 2008-03-26

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
I20080326000936IDiagnostic RadiologyWATBD

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
A9585Injection, gadobutrol, 0.1 ml1,49824$0
77063Screening 3d breast mammography1,3351,335$0
77067Screening mammography1,3341,334$0
77080Dxa bone density measurement of hip, pelvis, spine627627$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)275272$0
View full utilization report →

Insurance plans in this area (ZIP 98401)

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Provider's Procedures

DR. JEANA SO RYONG OH (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYWA71010X-ray of chest, 1 view, front1716

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: 8022172212View full group profile
NameSpecialtyState
Diagnostic RadiologyWA
Diagnostic RadiologyWA
-OR
Diagnostic RadiologyWA
Interventional Radiology, Diagnostic RadiologyWI
-WA
Diagnostic RadiologyWA
-WA
Diagnostic RadiologyCA
Diagnostic RadiologyTX

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Frequently asked questions

What identifier follows DR. JEANA SO RYONG OH (MD) across health systems?
The NPI 1366555070 uniquely identifies DR. JEANA SO RYONG OH (MD) in U.S. healthcare data.
Should I treat DR. JEANA SO RYONG OH (MD) as an active provider?
Patients and plans typically see DR. JEANA SO RYONG OH (MD) as active in the national extract.
What type of care does DR. JEANA SO RYONG OH (MD) provide?
DR. JEANA SO RYONG OH (MD)'s profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JEANA SO RYONG OH (MD)?
The directory associates DR. JEANA SO RYONG OH (MD) with Tacoma, Washington. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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