David Myungkee Moon, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A74811 Issued in CA

Practice address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Phone

(952) 595-1100

Fax

(612) 294-4903

NPI assigned

May 18, 2006

Last updated

Dec 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, WA, TX, VT, SC, CA, NY7 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 7

Specialty

Diagnostic Radiology

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Virtual Radiologic Professionals of New York PAGroup PAC ID 9335244169, 27 clinicians

Atlantic Radiology Associates LLCGroup PAC ID 5799706032, 92 clinicians

Carlos G Otis Health Care Center IncGroup PAC ID 6002726387, shared by 4 NPIs, 46 clinicians

Radiology Specialists LTD Marasso-MillerGroup PAC ID 0143110874, 136 clinicians

Roseburg Radiologists PCGroup PAC ID 0446246003, 45 clinicians

Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians

Vermont Diagnostic Imaging LLCGroup PAC ID 9436640893, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
• Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071
• Woodland Heights Medical Center Hospital, Lufkin, TX, CCN 450484
• Central Vermont Medical Center Hospital, Barre, VT, CCN 470001
• Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215

Merit-based Incentive Payment System (MIPS)

Final score

86.65 of 100Reported as apm

Quality

89.26

Promoting interoperability

69.9

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

86.65 of 100Reported as apm

Quality

89.26

Promoting interoperability

69.9

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

99.3 of 100Reported as group

Quality

91.79

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Virtual Radiologic Professionals of New York, P.a.

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1558455600

  NY

  Medicare reassignment Care Compare group NPD
• Atlantic Radiology Associates, LLC

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1033136080

  NY

  Medicare reassignment Care Compare group NPD
• Roseburg Radiologists P C

  • Diagnostic Radiology Physician
  • Roseburg, OR
  • NPI 1700876117

  NY

  Medicare reassignment Care Compare group NPD
• Sonoran Radiology LTD

  • Vascular & Interventional Radiology Physician
  • Mesa, AZ
  • NPI 1033745708

  Diagnostic Radiology, NY

  Medicare reassignment Care Compare group NPD
• Vermont Diagnostic Imaging LLC

  • Radiology Clinic/Center
  • Williston, VT
  • NPI 1295622330

  NY

  Medicare reassignment Care Compare group NPD
• Radiology Specialists LTD Marasso-Miller

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1437196979

  NY

  Medicare reassignment Care Compare group
• Carlos G Otis Health Care Center Inc

  dba Grace Cottage Family Health

  • Rural Health Clinic/Center
  • Townshend, VT
  • NPI 1124049960
  Medicare reassignment NPD
• Carlos G. Otis Health Care Center Inc.

  dba Grace Cottage Hospital

  • Critical Access Hospital
  • Townshend, VT
  • NPI 1255337473
  Medicare reassignment NPD
• Chelan County Public Hospital District No 2

  dba Lake Chelan Community Hospital

  • Critical Access Hospital
  • Chelan, WA
  • NPI 1578568853
  Medicare reassignment NPD
• Cow Creek Band of Umpqua Tribe of Indians

  dba Cow Creek Health & Wellness Ctr

  • Federally Qualified Health Center (FQHC)
  • Roseburg, OR
  • NPI 1063502714

  TX

  Medicare reassignment NPD
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875

  NY

  Medicare reassignment NPD
• Specialists in Medical Imaging SC

  • Diagnostic Radiology Physician
  • Olympia Fields, IL
  • NPI 1841687951

  NY

  Medicare reassignment NPD

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

• Central Vermont Medical Center Inc

  • General Acute Care Hospital
  • Berlin, VT
  • NPI 1508845637
  Care Compare affiliation
• Piney Woods Healthcare System, L.P.

  dba Woodland Heights Medical Center

  • General Acute Care Hospital
  • Lufkin, TX
  • NPI 1487607792
  Care Compare affiliation
• Rome Memorial Hospital

  dba Delta Medical

  • Internal Medicine Physician
  • Rome, NY
  • NPI 1700121894

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rome, NY
  • NPI 1306807193

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  • Primary Care Clinic/Center
  • Boonville, NY
  • NPI 1336100767

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  dba Regional Wound Care Center

  • Clinic/Center
  • Rome, NY
  • NPI 1356689004

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  dba Camden Family Care

  • Primary Care Clinic/Center
  • Camden, NY
  • NPI 1891113965

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc

  • Primary Care Clinic/Center
  • Rome, NY
  • NPI 1952362741

  Hospital

  Care Compare affiliation
• Rome Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Rome, NY
  • NPI 1376546440
  Care Compare affiliation
• Rome Memorial Hospital, Inc.

  dba Chestnut Commons

  • Physical Therapy Clinic/Center
  • Rome, NY
  • NPI 1851489330

  Hospital

  Care Compare affiliation
• Self Regional Healthcare

  dba Pain Management Greenwood

  • Pain Medicine (Anesthesiology) Physician
  • Greenwood, SC
  • NPI 1013867498

  Hospital

  Care Compare affiliation
• Self Regional Healthcare

  dba SRH - Inpatient Services

  • General Acute Care Hospital
  • Greenwood, SC
  • NPI 1023046612
  Care Compare affiliation

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1548213812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "DAVID",
        "middle_name": "MYUNGKEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A74811",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VT",
            "license": "042-0011269",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "10202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Maria Montenegro
• Natalia Cristina Montero Vazquez, PSYD, LP
• Arthur A Montes, M.D.
• Heather Montgomery Verjovsky, LMFT
• Katherine Moody, P.A.
• Kirsten Marie Moon, PT
• Andrea Moonen, L.AC.
• Mooney Consulting PLLC
• Lauren Leigh Mooney, LPCC
• Moore Chiropractic PLLC

• Diagnostic Radiology Physician in Edina, MN
• Providers in Edina, MN by specialty
• Diagnostic Radiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.