Active NPI
Heon Soo Yi, M.D.
- Family Medicine Physician
- Fairfax, VA
National Provider Identifier
1043573561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0116024488
- Practice address
- 3650 Joseph Siewick Dr
Suite 400
Fairfax, VA 22033-1710 - Phone
- (703) 391-2020
- NPI assigned
- Jun 19, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0116024488 | VA | Primary |
Addresses
Primary practice location
3650 Joseph Siewick Dr
Suite 400
Fairfax, VA 22033-1710
Mailing address
3650 Joseph Siewick Dr
Suite 400
Fairfax, VA 22033-1710
Phone (703) 391-2020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hyi12603@soc.inova.org | Health Information Exchange (HIE) | Inova Physician Partners, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Maryland School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8988 Lorton Station Blvd
Suite 201
Lorton, VA 22079-4758
Phone (703) 339-7550
Hospital & facility affiliations
- Inova Home Health LLC
- Inova Mount Vernon Hospital
- Inova Alexandria Hospital
- Inova Fairfax Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.98 of 100
- Quality
- 87.97
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116024488 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Physician Partners, LLC | Family Medicine | Current | Accepting new patients |
| Inova Physician Partners, Inc. - Specialists | Past | Accepting new patients |
Locations
6201 Centreville Rd
Ste 100
Centreville, VA 20121
Phone (703) 263-9600
3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223
3650 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 391-2020
8988 Lorton Station Blvd
Ste 201
Lorton, VA 22079
Phone (703) 339-7550
115 Park St SE
Ste 300
Vienna, VA 22180
Phone (703) 255-9100
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.
-
- Orthopaedic Surgery Physician
- Leesburg, VA
- NPI 1811204050
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fairfax, VA
- NPI 1710473673
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1922139120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1043573561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 JOSEPH SIEWICK DR",
"address_2": "SUITE 400",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331710",
"telephone_number": "703-391-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 JOSEPH SIEWICK DR",
"address_2": "SUITE 400",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331710",
"telephone_number": "703-391-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YI",
"first_name": "HEON SOO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-19",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0116024488",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hyi12603@soc.inova.org",
"affiliation": "Y",
"endpointDescription": "Health Information Exchange",
"affiliationName": "Inova Physician Partners, LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "8988 Lorton Station Blvd Ste 201",
"city": "Lorton",
"state": "VA",
"country_code": "US",
"postal_code": "220794758",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.