Active NPI
Phyo Su Yin, MD
- Internal Medicine Physician
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD-48812
- Practice address
- 1350 Des Moines St Ste 100
Des Moines, IA 50309-5507 - Phone
- (515) 643-5700
- Fax
- (515) 643-5739
- NPI assigned
- Jun 10, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1508741505
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
Hospital
-
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
Hospital
-
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
-
- Home Health Agency
- Des Moines, IA
- NPI 1982993317
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinics Inc
Practice addresses (Care Compare)
1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-4240
Hospital & facility affiliations
- Mercyone Des Moines Home Care
- Mercyone Des Moines Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220923000647 | IA | Practitioner - Internal Medicine | 6204240880 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.074762 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics, Inc. | Internal Medicine | Current | Accepting new patients |
| Mercy Clinics Inc | Internal Medicine | Current | Accepting new patients |
| Catholic Health Initiatives-Iowa Corp | Past | Accepting new patients |
Locations
330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454
1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121
405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259
411 Laurel St
Ste 2310
Des Moines, IA 50314
Phone (515) 247-4261
1350 Des Moines St
Ste 100
Des Moines, IA 50309
Phone (515) 643-0400
Interoperability endpoints
- pyin3961824@direct.trinity-health.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD-48812 | IA | Primary |
| Internal Medicine Physician | 207R00000X | 125.074762 | IL |
Addresses
NPPES NPI RegistryPrimary practice location
1350 Des Moines St Ste 100
Des Moines, IA 50309-5507
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-5700
Other practice location 1
4646 N Marine Dr
Chicago, IL 60640-5759
Phone (773) 564-5235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 17, 2023.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1033778352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-643-5700",
"fax_number": "515-643-5739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 DES MOINES ST STE 100",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503095507",
"telephone_number": "515-643-5700",
"fax_number": "515-643-5739"
}
],
"practiceLocations": [
{
"address_1": "4646 N Marine Dr",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606405759",
"country_code": "US",
"telephone_number": "773-564-5235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YIN",
"first_name": "PHYO SU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "MD-48812",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125.074762",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.