Individual provider Active NPI

Hyunseo Jung, MD

  • Otolaryngology Physician
  • Farmington Hills, MI
National Provider Identifier
1992266720
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301511869 Issued in MI
Practice address
30055 Northwestern Hwy Ste 101
Farmington Hills, MI 48334-3260
Phone
(248) 865-4444
Fax
(248) 865-6161
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology Physician 207Y00000X 4301511869 MI Primary

Addresses

Primary practice location

30055 Northwestern Hwy Ste 101
Farmington Hills, MI 48334-3260

Mailing address

30055 Northwestern Hwy Ste 101
Farmington Hills, MI 48334-3260
Phone (248) 865-4444

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250319002839 MI Practitioner - Otolaryngology 5193055929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Florida International Univ, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Ear Institute PLLCGroup PAC ID 5597735514, 35 clinicians

Practice addresses (Care Compare)

30055 Northwestern Hwy
Suite 101
Farmington Hills, MI 48334-3260
Phone (248) 865-4444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301511869MIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Ear Institute PLLC Otolaryngology CurrentSince Apr 1, 2025 Accepting new patients

Locations

30055 Northwestern Hwy
Ste 101
Farmington Hills, MI 48334
Phone (248) 865-4166

Interoperability endpoints

  • Direct secure messaging: hyunseo.jung.1@21058.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21058/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1992266720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE 101",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343260",
            "telephone_number": "248-865-4444",
            "fax_number": "248-865-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE 101",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343260",
            "telephone_number": "248-865-4444",
            "fax_number": "248-865-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "HYUNSEO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301511869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.