Kenneth Taeho Moon, M.D.
Family Medicine Physician · Hollywood, MD
Kenneth Taeho Moon, M.D. is a family medicine physician with a practice address in Hollywood, Maryland, and NPI 1972591345, issued on Oct 11, 2005. Check the license (Maryland D0057219, as entered in NPPES) on the Maryland Board of Physicians; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kenneth Taeho Moon
- Credential
- M.D.
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License numbers
- D0057219 MD
32929 DC
Self-reported in NPPES; status is on the state search - Practice location
- 24435 Mervell Dean RD, Hollywood, MD 20636
- Phone
- (301) 373-2116
- Enumerated
- Oct 11, 2005
- Record last updated
- Oct 24, 2025
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 1,912 in Maryland → Look up another NPI →
Also registered at 24435 Mervell Dean RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Laura Zilberman, NP-CFamily Nurse Practitioner1821331539
Verify Kenneth Taeho Moon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMaryland Board of Physicians
Search for license D0057219Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kenneth Taeho Moon among 1,912 family medicine physician records in Maryland
Kenneth Taeho Moon, M.D. is one of 1,912 family medicine physician records with a practice address in Maryland. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 87% newer
- In a Medicare fileNo · 73% of these records are
- In the CMS Doctors and Clinicians fileNo · 60% of these records are
- Record last updated2025 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Maryland practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
3 family medicine physician records list a practice address in Hollywood
They are 3 of the 100 NPPES records with a practice address in Hollywood, and 1,912 family medicine physician records in Maryland. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,912 in Maryland → Every provider in Hollywood → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- John Bennett, MDHollywood, MD 206361932282613
- Charles Sandor, MDHollywood, MD 206361649776659
- Sarah JusticeHuntingtown, MD 206391700681012
- Eddie Nance, MDIndian Head, MD 206401881057032
- James Harring, M.D.La Plata, MD 206461689610016
- Daniel HowellLa Plata, MD 206461922026129
- Meenakshi Brewster, M.D.Leonardtown, MD 206501063697936
- Jeffrey BrownLeonardtown, MD 206501770508962
Common questions
What is Kenneth Taeho Moon, M.D.'s NPI number?
Kenneth Taeho Moon, M.D.'s National Provider Identifier (NPI) is 1972591345, issued on Oct 11, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Kenneth Taeho Moon, M.D. located?
The NPPES record lists a practice address at 24435 Mervell Dean RD, Hollywood, MD, 20636. Phone: (301) 373-2116. Providers update this record themselves, so call before visiting.
How can I verify Kenneth Taeho Moon, M.D.'s license?
NPPES lists Maryland license number D0057219, as entered by the provider. Search the Maryland Board of Physicians at https://www.mbp.state.md.us/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.