Active NPI
Willie M Yu P C
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Frederick, MD
National Provider Identifier
1083669659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- D0053489
- Legal business name
- WILLIE M YU P C
- Practice address
- 6550 Mercantile Dr E
Suite 104
Frederick, MD 21703-7655 - Phone
- (301) 668-0888
- Fax
- (301) 668-0999
- NPI assigned
- May 23, 2006
- 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
- Laura Leliugaite
- Title
- Manager
- Phone
- (301) 668-0888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | D0053489 | MD | Primary |
Addresses
Primary practice location
6550 Mercantile Dr E
Suite 104
Frederick, MD 21703-7655
Mailing address
6550 Mercantile Dr E Ste 104
Frederick, MD 21703-7656
Phone (301) 668-0888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158300000 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
6550 Mercantile Dr E
Ste 104
Frederick, MD 21703
Phone (301) 668-0888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Frederick, MD
- NPI 1881634491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763596800000",
"number": "1083669659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 MERCANTILE DR E STE 104",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217037656",
"telephone_number": "301-668-0888",
"fax_number": "301-668-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 MERCANTILE DR E",
"address_2": "SUITE 104",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217037655",
"telephone_number": "301-668-0888",
"fax_number": "301-668-0999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIE M YU P C",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A",
"authorized_official_last_name": "LELIUGAITE",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "301-668-0888"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MD",
"license": "D0053489",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158300000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.