Jiwoong Hyun, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601011944 Issued in MI

Practice address

17177 N Laurel Park Dr Ste 131
Livonia, MI 48152-3952

Phone

(734) 462-3210

NPI assigned

Aug 3, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Victor M. Cruz MD, P.C. 29 clinicians

Sciometrix LLC 58 clinicians

Detroit Health Care for the Homeless 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Detroit Health Care for the Homeless

  • Federally Qualified Health Center (FQHC)
  • Warren, MI
  • NPI 1144371279

  MI

  Medicare reassignment Care Compare group
• Sciometrix LLC

  • General Practice Physician
  • Royal Oak, MI
  • NPI 1619649894

  MI

  Medicare reassignment Care Compare group
• Victor M. Cruz MD, P.C.

  • Psychiatry Physician
  • Livonia, MI
  • NPI 1023036514

  MI

  Medicare reassignment Care Compare group
• Detroit Health Care for the Homeless

  • Federally Qualified Health Center (FQHC)
  • Warren, MI
  • NPI 1043103989
  Care Compare group NPD
• Detroit Health Care for the Homeless

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1871645309
  Care Compare group NPD
• Zen Psychiatry Professional Corporation

  • Psychiatry Physician
  • Romulus, MI
  • NPI 1801730080
  NPD Authorized official
• Detroit Health Care for the Homeless

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1588238323
  Care Compare group
• Detroit Health Care for the Homeless

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1801361464
  Care Compare group
• Hamilton Community Health Network Inc.

  • Federally Qualified Health Center (FQHC)
  • Flint, MI
  • NPI 1386624278
  NPD
• Hamilton Community Health Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Burton, MI
  • NPI 1639997257
  NPD
• Detroit Health Care for the Homeless

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1285735845
  NPD (past)

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1134801756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28741 HERBERT ST",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712908",
            "telephone_number": "734-506-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17177 N LAUREL PARK DR STE 131",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523952",
            "telephone_number": "734-462-3210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15400 W McNichols Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482353724",
            "country_code": "US",
            "telephone_number": "313-835-5990",
            "fax_number": "313-835-5920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13739 S Huron River Dr",
            "address_purpose": "LOCATION",
            "city": "Romulus",
            "state": "MI",
            "postal_code": "481743628",
            "country_code": "US",
            "telephone_number": "734-506-0652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYUN",
        "first_name": "JIWOONG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baoviet Huynh Le
• Hygieia Clinic Michigan PC
• Hygieia Inc
• Barbara J Hyland-Taylor, P.T.
• Hypertension Nephrology Associates PC
• I & L Professional Medical Services
• I Pharmacy 2 LLC
• Taylor Iacovacci
• Gail Ian, CRNA
• Amy Iaquinta-Wilkerson, PA-C

• All providers in Livonia, MI
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.