Individual provider Active NPI

Janice Yoonmi Jeon, M.D.

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1467774729
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0073372 Issued in MD
Practice address
22 S. Greene Street
Dept of Radiology
Baltimore, MD 21201
Phone
(410) 328-3477
NPI assigned
Feb 26, 2010
Last updated
Aug 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0073372 MD Primary

Addresses

Primary practice location

22 S. Greene Street
Dept of Radiology
Baltimore, MD 21201

Mailing address

8030 Crianza PL
Apt. 242
Vienna, VA 22182-4090
Phone (917) 886-1884

Other names 1

  • Dr. Janice Yoonmi Lee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120522000880 DC Practitioner - Diagnostic Radiology 2860655214 Reassigns benefits to 3 organizations
I20120523000228 MD Practitioner - Diagnostic Radiology 2860655214 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York Downstate Medical Center, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

12 Medstar Blvd
Bel Air, MD 21015-1798
Phone (443) 625-5430

12158 Central Ave
Suite 100
Mitchellville, MD 20721-1932
Phone (301) 430-2750

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000

5454 Wisconsin Ave
Suite 1700
Bethesda, MD 20815-6951
Phone (301) 841-8300

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince May 1, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2024 Accepting new patients
Medstar Medical Group Radiology, LLC Diagnostic Radiology CurrentSince Nov 1, 2014 Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology CurrentSince Apr 1, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2024 Accepting new patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince Apr 1, 2016 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology Current Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Jun 1, 2018 Accepting new patients

Locations

110 Irving St NW
Rm BA94
Washington, DC 20010
Phone (202) 877-6429

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3007 Tilden St NW
Ste 5N
Washington, DC 20008

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

12 Medstar Blvd
Bel Air, MD 21015
Phone (410) 877-8087

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

5454 Wisconsin Ave
Ste 1700
Chevy Chase, MD 20815
Phone (301) 656-8100

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

12158 Central Ave
Ste 100
Mitchellville, MD 20721
Phone (301) 430-2750

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1467774729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 CRIANZA PL",
            "address_2": "APT. 242",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221824090",
            "telephone_number": "917-886-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S. GREENE STREET",
            "address_2": "DEPT OF RADIOLOGY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "410-328-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEON",
        "first_name": "JANICE",
        "middle_name": "YOONMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0073372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "LEE",
            "middle_name": "YOONMI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.