Taesun Moon, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

OS016770 Issued in PA

Practice address

126 E Church St Ste 2300
Somerset, PA 15501-2272

Phone

(814) 443-2100

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

New York College of Osteo Medicine of New York Institute of Technology, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Somerset Health Services IncGroup PAC ID 2668434614, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Somerset Hospital, Somerset, PA, CCN 390039

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Somerset Health Services Inc

  • Family Medicine Physician
  • Somerset, PA
  • NPI 1134237407
  Medicare reassignment Care Compare group NPD
• Windber Hospital, Inc.

  • Surgery Physician
  • Windber, PA
  • NPI 1376543942
  Medicare reassignment
• Somerset Health Services, Inc.

  • Neurology Physician
  • Somerset, PA
  • NPI 1174149975
  NPD
• Somerset Health Services, Inc.

  • Pain Medicine Physician
  • Somerset, PA
  • NPI 1841509387
  NPD
• Somerset Health Services, Inc.

  • Orthopaedic Surgery Physician
  • Somerset, PA
  • NPI 1871590240
  NPD (past)
• Upmc Somerset

  • General Acute Care Hospital
  • Somerset, PA
  • NPI 1912900168

  Surgery

  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

• Upmc Somerset

  • Clinic/Center
  • Somerset, PA
  • NPI 1073692679

  Hospital

  Care Compare affiliation
• Upmc Somerset

  • Psychiatric Hospital Unit
  • Somerset, PA
  • NPI 1558381988
  Care Compare affiliation
• Upmc Somerset

  • General Acute Care Hospital
  • Somerset, PA
  • NPI 1912900168
  Care Compare affiliation

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1760595755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E CHURCH ST STE 2300",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012272",
            "telephone_number": "814-443-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E CHURCH ST STE 2300",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012272",
            "telephone_number": "814-443-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "TAESUN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2024-06-05",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OS016770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OS016770",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tae.s.moon@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marilyn Miller, LPN
• Melissa Chappie Miller, PHARM D
• Ronald Charles Miller
• Sarah Miller, MSW
• Shomendra K Moitra, M.D.
• Paul David Moreau, MS
• Taylor Grace Morrow, MSN, FNP-C
• Denise Mostoller, RN
• Sarah Mowry, DPT
• Danielle Munksgard, LSW

• Surgery Physician in Somerset, PA
• Providers in Somerset, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.