Individual provider Active NPI

Yong Jeon, MD

  • Internal Medicine Physician
  • Pueblo, CO
National Provider Identifier
1215275797
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
333670 Issued in NY
Practice address
1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone
(719) 557-4020
Fax
(719) 557-4766
NPI assigned
Jan 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X C165686 CA
Hospitalist Physician 208M00000X CDRH.0055798 CO
Internal Medicine Physician 207R00000X 55798 CO
Hospitalist Physician 208M00000X MD.MD.60552619 WA
Internal Medicine Physician 207R00000X 333670 NY Primary
Internal Medicine Physician 207R00000X 083946 CT

Addresses

Primary practice location

1008 Minnequa Ave
Pueblo, CO 81004-3733

Mailing address

1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone (719) 557-4020

Other practice location 1

12250 E Iliff Ave
#300
Aurora, CO 80014-6318
Phone (720) 524-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CA, NY, CT4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20151118003087 CO Practitioner - Hospitalist 6204136575 Reassigns benefits to 2 organizations
I20211006001430 CA Practitioner - Internal Medicine 6204136575 Reassigns benefits to 4 organizations
I20251001004213 NY Practitioner - Hospitalist 6204136575 Reassigns benefits to 1 organization
I20260407003598 CT Practitioner - Hospitalist 6204136575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
County of Santa ClaraGroup PAC ID 1254244973, shared by 46 NPIs, 1,000 clinicians

Practice addresses (Care Compare)

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 917-9966

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000

2222 N Nevada Ave
Colorado Springs, CO 80907-6819

41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780

751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

Merit-based Incentive Payment System (MIPS)

Final score
99.61 of 100Reported as group
Quality
100
Improvement activities
40
Cost
88.22

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55798COMDInternal Medicine Physician
083946CTMDInternal Medicine Physician
333670NYMDInternal Medicine Physician
C165686CAMDHospitalist Physician
CDRH.0055798COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Sep 21, 2021 Accepting new patients
Portercare Adventist Health System Internal Medicine CurrentSince Nov 14, 2021 Accepting new patients
Inpatient Consultants of Colorado PC Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Nov 14, 2021 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince May 31, 2024 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Nov 14, 2021 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince May 31, 2024 Accepting new patients
County of Santa Clara CurrentSince Sep 21, 2021 Accepting new patients
Inpatient Consultants of Colorado PC Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
County of Santa Clara CurrentSince Sep 21, 2021 Accepting new patients
New York Medical Physician Associates PC Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
Portercare Adventist Health System CurrentSince Nov 14, 2021 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Oct 1, 2025 Accepting new patients
County of Santa Clara Internal Medicine Current Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Sep 21, 2021 Accepting new patients
County of Santa Clara Current Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients
Lubbock County Hospital District Past Accepting new patients
MVHS Inc Past Accepting new patients
Inpatient Consultants of Colorado, PC Internal Medicine Past Accepting new patients

Locations (25 of 26)

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

12250 E Iliff Ave
Ste 300
Aurora, CO 80014
Phone (720) 524-1550

2000 S Colorado Blvd
Ste 420
Denver, CO 80222
Phone (720) 524-1550

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

Interoperability endpoints

  • Direct secure messaging: yjeon178883@santaclaravalley.direct-ci.net
  • Direct secure messaging: yjeon3786886@direct.trinity-health.org

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1215275797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 MINNEQUA AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043733",
            "telephone_number": "719-557-4020",
            "fax_number": "719-557-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 MINNEQUA AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043733",
            "telephone_number": "719-557-4020",
            "fax_number": "719-557-4766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12250 E Iliff Ave",
            "address_2": "#300",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800146318",
            "country_code": "US",
            "telephone_number": "720-524-1550",
            "fax_number": "720-524-1551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEON",
        "first_name": "YONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-17",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "C165686",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "CDRH.0055798",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "55798",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD.MD.60552619",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "333670",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "083946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.