ELISE JONGEUN YOON D.O.
NPI 1912561119
Student in an Organized Health Care Education/Training Program in Southfield, MI
NPI Status: Active since April 24, 2019
Contact Information
22250 PROVIDENCE DRIVE
SUITE #601
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 569-7745
- Individual
- Female
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About ELISE YOON
This page provides the complete NPI Profile along with additional information for Elise Yoon, a primary care provider established in Southfield, Michigan with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1912561119 assigned on April 2019. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1912561119
- Provider Name
- ELISE JONGEUN YOON D.O.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 22250 PROVIDENCE DRIVE SUITE #601 SOUTHFIELD, MI 48075
- Location Phone
- (248) 569-7745
- Mailing Address
- 22250 PROVIDENCE DRIVE SUITE #601 SOUTHFIELD, MI 48075
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-24-2019
- Last Update Date
- 04-24-2019
- Code Navigator
A primary care provider (PCP) like Elise Yoon sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- License State
- MI
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Elise Yoon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 1 | 2 | 5 | 6 | 1 | 1 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 2 | 2 | 10 | 6 | 2 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 2 + 2 + 1 + 0 + 6 + 2 + 1 + 2 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1912561119 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073615282 | VIJAY K MITTAL MD Individual | Surgery | 22250 PROVIDENCE DRIVE SUITE 703A SOUTHFIELD, MI 48075 (248) 849-5862 |
| 1750555827 | BRUCE L. KAPLAN DO, PC Organization | Internal Medicine (Rheumatology) | 22250 PROVIDENCE DRIVE SUITE #200 SOUTHFIELD, MI 48075 (248) 552-0242 |
| 1578834651 | JIAN ZU MD PLLC Organization | Family Medicine | 22250 PROVIDENCE DRIVE SUITE 701 SOUTHFIELD, MI 48075 (248) 569-4500 |
| 1952534307 | DARREN REED JONES PHD Individual | Psychologist | 22250 PROVIDENCE DRIVE SUITE 500 DETROIT, MI 48075 (248) 849-3441 |
| 1477557734 | MICHELLE BAKER PA Individual | Physician Assistant | 22250 PROVIDENCE DRIVE 5TH FLOOOR SOUTHFIELD, MI 48075 (248) 849-3441 |
| 1407067531 | SACHIT MALDE M.D. Individual | Radiology (Diagnostic Radiology) | 22250 PROVIDENCE DRIVE SUITE 207 SOUTHFIELD, MI 48075 (248) 569-4353 |
| 1215310867 | ZAHID MAHMOOD M.D. Individual | Family Medicine | 22250 PROVIDENCE DRIVE SUITE 500 SOUTHFIELD, MI 48075 (248) 849-3441 |
| 1164087888 | KATHLEEN JEANNE MARIE HARNOIS M.D. Individual | Student in an Organized Health Care Education/Training Program | 22250 PROVIDENCE DRIVE SUITE #703A SOUTHFIELD, MI 48075 (248) 849-5862 |
| 1528624798 | KARAN SINGH SEKHON M.D. Individual | Student in an Organized Health Care Education/Training Program | 22250 PROVIDENCE DRIVE SUITE #557 SOUTHFIELD, MI 48075 (248) 849-3447 |
| 1902460132 | MADAN MOHAN REDDY PALURU M.D. Individual | Surgery | 22250 PROVIDENCE DRIVE SUITE #703A SOUTHFIELD, MI 48075 (248) 849-5862 |
| 1235754813 | MR. HARVEY SEKHON M.D. Individual | Student in an Organized Health Care Education/Training Program | 22250 PROVIDENCE DRIVE 3 PMB #301 SOUTHFIELD, MI 48075 (248) 849-3281 |
| 1124601620 | DR. MOHAMAD MOUGHNYEH MD Individual | Student in an Organized Health Care Education/Training Program | 22250 PROVIDENCE DRIVE 7PMB SUITE #703A SOUTHFIELD, MI 48075 (248) 849-5862 |
| 1093383044 | MEAGHAN REBECCA SAMPLE MD Individual | Surgery | 22250 PROVIDENCE DRIVE 7PMB SUITE #703A SOUTHFIELD, MI 48075 (248) 849-5862 |
| 1750956652 | DR. ABD AL RAHMAN IBRAHIM EL-MALLAH MD Individual | Family Medicine | 22250 PROVIDENCE DRIVE SUITE #557 SOUTHFIELD, MI 48075 (248) 849-3447 |
| 1518538073 | JOSE DANIEL GUERRA TORO Individual | Surgery | 22250 PROVIDENCE DRIVE 7PMB SUITE #703A SOUTHFIELD, MI 48075 (248) 849-5862 |
| 1235874660 | DR. MEGAN ATKINS MD Individual | Student in an Organized Health Care Education/Training Program | 22250 PROVIDENCE DRIVE 7PMB SUITE #703A SOUTHFIELD, MI 48075 (248) 849-5862 |
| 1407597636 | CASSANDRA A LAMARCHE MD Individual | Family Medicine | 22250 PROVIDENCE DRIVE SUITE #557 SOUTHFIELD, MI 48075 (248) 849-3447 |
| 1407594237 | BROOKE CAROLINE MOWER MD Individual | Surgery | 22250 PROVIDENCE DRIVE 7PMB SUITE #703A SOUTHFIELD, MI 48075 (248) 849-5862 |
| 1285378232 | DR. JOHN PAUL COLOMBO M.D. Individual | Student in an Organized Health Care Education/Training Program | 22250 PROVIDENCE DRIVE 3PMB SUITE #301 (ACADEMIC INTERNAL MEDICINE DEPARTMENT) SOUTHFIELD, MI 48075 (248) 849-3281 |
| 1730818162 | MR. MILAN PATEL M.D. Individual | Internal Medicine | 22250 PROVIDENCE DRIVE SOUTHFIELD, MI 48075 (248) 849-3281 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912561119, enumerated in the NPI registry as an "individual" on April 24, 2019
The provider is located at 22250 Providence Drive Suite #601 Southfield, Mi 48075 and the phone number is (248) 569-7745
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 24, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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