Active NPI
Justin K Yoon, M.D.
- Diagnostic Radiology Physician
- Bellevue, WA
National Provider Identifier
1033282777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD00037000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8881872 | Other | WA | PTAN-MIO1 |
| AB36535 | Other | WA | MEDICARE PIN TRA KING COUNTY |
| AB37885 | Other | WA | MEDICARE PIN ADVANCED OPEN IMAGING |
| 0249559 | Other | WA | LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST |
| 7252YO | Other | WA | REGENCE BLUE SHIELD UNION AVENUE OPEN |
| 8951825 | Other | WA | LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST |
| 158188 | Other | WA | LABOR AND INDUSTRIES/WC TRA |
| 1940YO | Other | WA | REGENCE BLUE SHIELD ADVANCED OPEN IMAGING |
| 8296378 | Medicaid | WA | |
| 170311 | Other | WA | LABOR AND INDUSTRIES/WC ADVANCED OPEN IMAGING |
| 300128232 | Other | WA | RR MEDICARE TRA |
| 158190 | Other | WA | LABOR AND INDUSTRIES/WC UNION AVENUE OPEN |
| 3231YO | Other | WA | REGENCE 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00037000 | WA | MD | Body Imaging Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba St. Joseph Medical Center CTA
- Body Imaging Physician
- Tacoma, WA
- NPI 1285682492
-
- Radiology Clinic/Center
- Federal Way, WA
- NPI 1376778381
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1376612069
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.