Organization Active NPI

Willie M Yu P C

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Frederick, MD
National Provider Identifier
1083669659
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
D0053489 Issued in MD
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

Updated by the provider on Nov 20, 2025

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)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
158300000MedicaidMD

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.