Individual provider Active NPI

Alexandra Lea Yu, AUD

  • Audiologist
  • Rockville, MD
National Provider Identifier
1003450446
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01499 Issued in MD
Practice address
9420 Key West Ave Ste 310
Rockville, MD 20850-6212
Phone
(301) 315-5888
Fax
(301) 315-5866
NPI assigned
Oct 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01499 MD Primary

Addresses

Primary practice location

9420 Key West Ave Ste 310
Rockville, MD 20850-6212

Mailing address

9420 Key West Ave Ste 310
Rockville, MD 20850-6212
Phone (301) 315-5888

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191217002583 DC Practitioner - Qualified Audiologist 5799119186 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kamil Ear, Nose, and Throat, LLCGroup PAC ID 4981065828, 2 clinicians

Practice addresses (Care Compare)

11119 Rockville Pike
Suite 320
Rockville, MD 20852-3143
Phone (318) 229-5781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01499MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose & Throat Specialists of Shady Grove, P.C. CurrentSince Jan 1, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Current Accepting new patients
Kamil Ear, Nose, and Throat, LLC CurrentSince Jul 1, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Mar 14, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Mar 14, 2022 Accepting new patients
Yu Audiology, LLC Audiologist CurrentSince Sep 1, 2024 Accepting new patients

Locations

11119 Rockville Pike
Ste 320
Rockville, MD 20852
Phone (240) 669-6598

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

Organizations & group practices 6

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": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1003450446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 KEY WEST AVE STE 310",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506212",
            "telephone_number": "301-315-5888",
            "fax_number": "301-315-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 KEY WEST AVE STE 310",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506212",
            "telephone_number": "301-315-5888",
            "fax_number": "301-315-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "ALEXANDRA",
        "middle_name": "LEA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9420 Key West Ave Ste 310",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208506212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.