SONG YOL YU D.O. NPI 1942373089

NPI Information

NPI: 1942373089
Provider Name: SONG YOL YU, D.O.
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

PECOS Registration: Yes

Address:
319 W DELAWARE ST
DECATUR, MI
ZIP 49045
Phone: (269) 423-7028
Get Directions

Song Yol Yu, D.O. is an adult medicine family medicine in Decatur, MI with 27 years of experience. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. Song Yol Yu, D.O. NPI is 1942373089. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:1997

The provider's business location address is:

319 W DELAWARE ST
DECATUR, MI
ZIP 49045-106
Phone: (269) 423-7028
Fax: (269) 423-8282

The NPI 1942373089 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 9/21/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	5101013501	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	114993740	MEDICAID	MICHIGAN
2	0H06012017	MEDICARE PIN	MICHIGAN
3	1942373089	MEDICAID	MICHIGAN
4	700H060020	OTHER	MICHIGAN	BCBSM
5	H56202	MEDICARE UPIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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