Jeenah Jung, M.D., PH.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

4301506942 Issued in MI

Practice address

22060 Beech St Ste 300
Dearborn, MI 48124-2847

Phone

(313) 228-0230

Fax

(313) 228-0231

NPI assigned

May 18, 2016

Last updated

Sep 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

84.37 of 100Reported as group

Quality

66.73

Promoting interoperability

100

Improvement activities

40

Cost

70.98

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jjung171705@direct.covenanthealthcare.com

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.

• Mymichigan Medical Center Saginaw

  dba Ascension Medical Group Primary Care Towne Centre

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1326658154
  Medicare reassignment NPD
• Mymichigan Medical Center Saginaw

  dba Ascension Medical Group Riverfront Cardiology

  • Cardiovascular Disease Physician
  • Saginaw, MI
  • NPI 1467736132
  NPD
• Mymichigan Medical Center Saginaw

  dba Ascension Medical Group Heritage Family Physicians

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1518042530
  NPD
• Mymichigan Medical Center Saginaw

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1871507509
  NPD (past)

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1427405596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22060 BEECH ST STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242847",
            "telephone_number": "313-228-0230",
            "fax_number": "313-228-0231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-3839",
            "fax_number": "248-898-0124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Howard Ave",
            "address_2": "Yale Physicians Building, 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065191369",
            "country_code": "US",
            "telephone_number": "203-785-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44250 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483141002",
            "country_code": "US",
            "telephone_number": "248-964-9715",
            "fax_number": "248-964-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNG",
        "first_name": "JEENAH",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301506942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Physicial Therapy LLC
• Julias Pharmacy LLC
• Olga S. Julicher, M.A.L.L.P.
• Kaley Merie July
• Amir Jundi, M.D.
• Fredrick S Junn, MD
• Nour Juratli, MD
• Sham Juratli, M.D.
• Haley Marie Jurczyszyn, DPT
• Jure Grahovac, M.D., P.C.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.