Individual provider Active NPI

Justin K Yoon, M.D.

  • Diagnostic Radiology Physician
  • Bellevue, WA
National Provider Identifier
1033282777
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00037000 Issued in WA
Practice address
17382 SE 54TH PL
Bellevue, WA 98006-5919
Phone
(206) 310-7710
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 00037000 WA
Diagnostic Radiology Physician 2085R0202X MD00037000 WA Primary

Addresses

Primary practice location

17382 SE 54TH PL
Bellevue, WA 98006-5919

Mailing address

17382 SE 54TH PL
Bellevue, WA 98006-5919
Phone (253) 761-4200

Other identifiers 13

IdentifierTypeStateIssuer
G8881872OtherWAPTAN-MIO1
AB36535OtherWAMEDICARE PIN TRA KING COUNTY
AB37885OtherWAMEDICARE PIN ADVANCED OPEN IMAGING
0249559OtherWALABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST
7252YOOtherWAREGENCE BLUE SHIELD UNION AVENUE OPEN
8951825OtherWALABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST
158188OtherWALABOR AND INDUSTRIES/WC TRA
1940YOOtherWAREGENCE BLUE SHIELD ADVANCED OPEN IMAGING
8296378MedicaidWA
170311OtherWALABOR AND INDUSTRIES/WC ADVANCED OPEN IMAGING
300128232OtherWARR MEDICARE TRA
158190OtherWALABOR AND INDUSTRIES/WC UNION AVENUE OPEN
3231YOOtherWAREGENCE BLUE SHIELD TRA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00037000WAMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging on 1St, LLC Past Accepting new patients
Commonspirit Washington Body Imaging Past Accepting new patients
Tacoma Magnetic Imaging LP Past Accepting new patients

Organizations & group practices 3

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1033282777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17382 SE 54TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065919",
            "telephone_number": "253-761-4200",
            "fax_number": "253-383-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17382 SE 54TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065919",
            "telephone_number": "206-310-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "JUSTIN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "WA",
            "license": "00037000",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00037000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN-MIO1",
            "identifier": "G8881872",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN TRA KING COUNTY",
            "identifier": "AB36535",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN ADVANCED OPEN IMAGING",
            "identifier": "AB37885",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST",
            "identifier": "0249559",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD UNION AVENUE OPEN",
            "identifier": "7252YO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST",
            "identifier": "8951825",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES/WC TRA",
            "identifier": "158188",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD ADVANCED OPEN IMAGING",
            "identifier": "1940YO",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8296378",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES/WC ADVANCED OPEN IMAGING",
            "identifier": "170311",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE TRA",
            "identifier": "300128232",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES/WC UNION AVENUE OPEN",
            "identifier": "158190",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD TRA",
            "identifier": "3231YO",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.