Active NPI
Jae Ui Hong, MD
- Internal Medicine Physician
- Somerset, PA
National Provider Identifier
1184611634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD059496L
- Practice address
- 321 E Main St
Suite 100
Somerset, PA 15501-2104 - Phone
- (814) 445-5169
- Fax
- (814) 443-6290
- NPI assigned
- Sep 30, 2005
- Last updated
- Dec 1, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD059496L | PA | Primary |
Addresses
Primary practice location
321 E Main St
Suite 100
Somerset, PA 15501-2104
Mailing address
321 E Main St
Suite 100
Somerset, PA 15501-2104
Phone (814) 445-5169
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110216603 | Other | PALMETTO GBA-RR MEDICARE | |
| 207960 | Other | UPMC | |
| 838177 | Other | BCBS | |
| 76444 | Other | THREE RIVERS | |
| 123405 | Other | HEALTH AMERICA/ASSURANCE | |
| 946096 | Other | AETNA | |
| 0018013740002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
321 E Main St
Suite 100
Somerset, PA 15501-2104
Phone (814) 445-5169
4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jae Ui. Hong | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
223 S Pleasant Ave
Ste 103
Somerset, PA 15501
Phone (814) 443-5221
321 E Main St
#100
Somerset, PA 15501
Phone (814) 445-5169
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Somerset, PA
- NPI 1659550028
-
- Physical Therapist
- Erie, PA
- NPI 1306893763
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Conemaugh Memorial Medical Center
- General Acute Care Hospital
- Johnstown, PA
- NPI 1801897038
-
dba Interim HealthCare Hospice and Palliative Care
- Community Based Hospice Care Agency
- Johnstown, PA
- NPI 1417210980
-
dba Conemaugh Home Health
- Home Health Agency
- Johnstown, PA
- NPI 1831613520
-
- Psychiatric Hospital Unit
- Somerset, PA
- NPI 1558381988
-
- General Acute Care Hospital
- Somerset, PA
- NPI 1912900168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1184611634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 E MAIN ST",
"address_2": "SUITE 100",
"city": "SOMERSET",
"state": "PA",
"postal_code": "155012104",
"telephone_number": "814-445-5169",
"fax_number": "814-443-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 E MAIN ST",
"address_2": "SUITE 100",
"city": "SOMERSET",
"state": "PA",
"postal_code": "155012104",
"telephone_number": "814-445-5169",
"fax_number": "814-443-6290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "JAE",
"middle_name": "UI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD059496L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA-RR MEDICARE",
"identifier": "110216603",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "207960",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "838177",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS",
"identifier": "76444",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA/ASSURANCE",
"identifier": "123405",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "946096",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018013740002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Somerset, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.