Active NPI
Jinsoo Andrew Keyoung, MD
- Body Imaging Physician
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- A84087
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 723-4000
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A84087 | CA | |
| Body Imaging Physician | 2085B0100X | A84087 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Other practice location 1
One Hoag Drive
Newport Beach, CA 92663-4162
Phone (949) 645-3534
Other practice location 2
Dept LA 21555
Pasadena, CA 91185-1555
Phone (949) 263-8620
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A840870 | Other | CA | BS |
| 00A840870 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Georgetown University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 645-3534
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
360 San Miguel Dr
Suite 105And106
Newport Beach, CA 92660-7853
Phone (949) 365-3534
Hospital & facility affiliations
- Hoag Memorial Hospital Presbyterian
- Hoag Orthopedic Institute
- Stanford Health Care
- Providence Mission Hospital
- Usc Kenneth Norris Jr Cancer Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.45 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 84.82
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.53 of 100
- Quality
- 87.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A84087 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport Harbor Radiology Associates Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Stanford Health Care | Diagnostic Radiology | Current | Accepting new patients |
| Stanford Health Care | Diagnostic Radiology | Current | Accepting new patients |
| Stanford Health Care | Current | Accepting new patients | |
| LPCH Medical Group Div of Lucile | Current | Accepting new patients | |
| Newport Center Radiology Associates Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Newport Center Radiology Medical Group Inc. | Past | Accepting new patients | |
| Lucile Salter Packard Children'S Hospital at Stanford | Past | Accepting new patients | |
| Stanford Hospital and Clinics | Past | Accepting new patients |
Locations
16250 Sand Canyon Ave
Irvine, CA 92618
Phone (855) 999-4641
16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000
18301 Von Karman Ave
Ste 310
Irvine, CA 92612
Phone (949) 645-3534
7999 Gateway Blvd
Ste 200
Newark, CA 94560
Phone (510) 806-2947
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
455 Old Newport Blvd
Ste 101
Newport Beach, CA 92663
Phone (949) 574-8200
360 San Miguel Dr
Ste 1
Newport Beach, CA 92660
Phone (949) 365-3534
360 San Miguel Dr
Ste 105106
Newport Beach, CA 92660
360 San Miguel Dr
Ste 105
Newport Beach, CA 92660
Phone (949) 365-3534
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
Dept LA 21705
Pasadena, CA 91185
Dept LA 21555
Pasadena, CA 91185
Phone (949) 236-8620
300 Pasteur Dr
#5500
Stanford, CA 94305
Phone (415) 723-5525
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Newport Beach, CA
- NPI 1013951714
-
- Diagnostic Radiology Physician
- Newport Beach, CA
- NPI 1053355792
-
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
-
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
-
- Children's Hospital
- Palo Alto, CA
- NPI 1467442749
-
- Radiology Clinic/Center
- Tustin, CA
- NPI 1205304433
-
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- Special Hospital
- Irvine, CA
- NPI 1982927877
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417554528
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1275076325
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1285177337
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1467990465
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1871543215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1962501833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
}
],
"practiceLocations": [
{
"address_1": "One Hoag Drive",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926634162",
"country_code": "US",
"telephone_number": "949-645-3534",
"fax_number": "949-645-3693",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Dept LA 21555",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911851555",
"country_code": "US",
"telephone_number": "949-263-8620",
"fax_number": "949-263-1639",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEYOUNG",
"first_name": "JINSOO",
"middle_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A84087",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "CA",
"license": "A84087",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "00A840870",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A840870",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.