NPIMap

Individual provider Active NPI

Jae Yeon Jung, M.D., PH.D.

  • Dermatology Physician
  • Louisville, KY
National Provider Identifier
1013946375
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
49240 Issued in KY
Practice address
3810 Springhurst Blvd Ste 200
Louisville, KY 40241
Phone
(502) 583-1749
Fax
(502) 329-8184
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 49240 KY Primary

Addresses

Primary practice location

3810 Springhurst Blvd Ste 200
Louisville, KY 40241

Mailing address

PO Box 950132
Louisville, KY 40295-0132
Phone (888) 980-8992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161117001918 KY Practitioner - DermatologyPractitioner - Internal Medicine 9739346487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Internal Medicine
Education
Washington University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norton Hospitals, IncGroup PAC ID 9830001528, 137 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
FL 6
Louisville, KY 40202-1831
Phone (502) 629-2806

315 E Broadway
Louisville, KY 40202-3700

676 S Floyd St
Louisville, KY 40202-1840
Phone (502) 629-4555

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • University of Louisville Hospital Hospital, Louisville, KY, CCN 180141

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
73.7
Promoting interoperability
100
Improvement activities
40
Cost
60.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions308
Skin biopsy75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
49240KYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Hospitals, Inc CurrentSince Nov 1, 2016 Accepting new patients
Associates in Dermatology, PLLC Dermatology CurrentSince Apr 1, 2017 Accepting new patients
Norton Hospitals Inc CurrentSince Nov 1, 2016 Accepting new patients
City of Hope Medical Group, Inc. Dermatology Current Accepting new patients
Dermatology Division University of Utah Medical Center Dermatology PastSince Dec 18, 2022 Accepting new patients
U-U Pediatric Dermatology PastSince May 24, 2020 Accepting new patients

Locations

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

4950 Norton Healthcare Blvd
Ste 300
Louisville, KY 40241
Phone (502) 394-6350

3810 Springhurst Blvd
Ste 200
Louisville, KY 40241
Phone (317) 780-7400

4123 Dutchmans Ln
Ste G2
Louisville, KY 40207
Phone (502) 899-6601

676 S Floyd St
Ste 200
Louisville, KY 40202
Phone (502) 629-2500

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

3991 Dutchmans Ln
Ste 405
Louisville, KY 40207
Phone (502) 899-3366

2355 Poplar Level Rd
Ste 405
Louisville, KY 40217
Phone (502) 636-7845

3810 Springhurst Blvd
Louisville, KY 40241
Phone (502) 322-1954

131 Stonecrest Rd
Ste 100
Shelbyville, KY 40065
Phone (502) 633-7093

Interoperability endpoints

  • Direct secure messaging: jjung110744@direct.nortonhealthcare.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 38

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 38

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1013946375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950132",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950132",
            "telephone_number": "888-980-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 SPRINGHURST BLVD STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40241",
            "telephone_number": "502-583-1749",
            "fax_number": "502-329-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "JAE",
        "middle_name": "YEON",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "49240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.