Individual provider Active NPI

Song-Lim Yuh, MD

  • General Practice Physician
  • Cleveland, OH
National Provider Identifier
1063513810
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35042317 Issued in OH
Practice address
3100 E45 #236
#2
Cleveland, OH 44127-1091
Phone
(216) 303-9693
Fax
(216) 341-3470
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 35042317 OH Primary

Addresses

Primary practice location

3100 E45 #236
#2
Cleveland, OH 44127-1091

Mailing address

3100 E45 #236
#2
Cleveland, OH 44127-1091
Phone (216) 303-9693

Other identifiers 1

IdentifierTypeStateIssuer
0373475MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100720000703 OH Practitioner - General PracticePractitioner - Family Practice 4385776723 Practice locations: Cleveland, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1063513810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E45 #236",
            "address_2": "#2",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441271091",
            "telephone_number": "216-303-9693",
            "fax_number": "216-341-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E45 #236",
            "address_2": "#2",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441271091",
            "telephone_number": "216-303-9693",
            "fax_number": "216-341-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUH",
        "first_name": "SONG-LIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35042317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0373475",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.