Organization Active NPI

Benson W. Yu M.D. PLLC

  • Internal Medicine Physician
  • Fairfax, VA
National Provider Identifier
1073791513
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101048810 Issued in VA
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

Updated by the provider on May 7, 2015

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.NPI 1518951557
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
005835984MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080506000147 DC Part B Supplier - Clinic/Group Practice 3971682782 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfax, VA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.