Active NPI
Benson W. Yu M.D. PLLC
- Internal Medicine Physician
- Fairfax, VA
National Provider Identifier
1073791513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101048810
- Legal business name
- BENSON W. YU M.D. PLLC
- Practice address
- 3601 Chain Bridge Rd Ste D
Fairfax, VA 22030-3243 - Phone
- (703) 691-1136
- Fax
- (703) 691-8116
- NPI assigned
- Feb 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Benson W Yu, M.D.
- Title
- President
- Phone
- (703) 691-1136
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101048810 | VA | Primary |
Addresses
Primary practice location
3601 Chain Bridge Rd Ste D
Fairfax, VA 22030-3243
Mailing address
3601 Chain Bridge Rd Ste D
Fairfax, VA 22030-3243
Phone (703) 691-1136
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005835984 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3601 Chain Bridge Rd
Ste D
Fairfax, VA 22030
Phone (703) 624-4668
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430956800000",
"number": "1073791513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 CHAIN BRIDGE RD STE D",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220303243",
"telephone_number": "703-691-1136",
"fax_number": "703-691-8116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 CHAIN BRIDGE RD STE D",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220303243",
"telephone_number": "703-691-1136",
"fax_number": "703-691-8116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENSON W. YU M.D. PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-06",
"last_updated": "2015-05-07",
"status": "A",
"authorized_official_last_name": "YU",
"authorized_official_first_name": "BENSON",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-691-1136",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101048810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005835984",
"state": "VA"
}
],
"endpoints": [],
"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 May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.