Individual provider Active NPI

Harrison Wonhee Yoo, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1083699243
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J0386 Issued in TX
Practice address
1139 E Sonterra Blvd
Suite #405
San Antonio, TX 78258-4347
Phone
(210) 404-0000
Fax
(210) 404-2812
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J0386 TX Primary

Addresses

Primary practice location

1139 E Sonterra Blvd
Suite #405
San Antonio, TX 78258-4347

Mailing address

1139 E Sonterra Blvd Ste 405
San Antonio, TX 78258-4352
Phone (210) 404-0000

Other identifiers 3

IdentifierTypeStateIssuer
118818707MedicaidTX
8DL464OtherTXBCBS
P01164920OtherRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HARRISON.YOO@hca7.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20081028000747 TX Practitioner - Internal Medicine 7618035023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Physician Practices PLLCGroup PAC ID 8022171974, 176 clinicians

Practice addresses (Care Compare)

1139 E Sonterra Blvd
Suite 405
San Antonio, TX 78258-4352
Phone (210) 404-0000

6800 I 10
Suite 100
San Antonio, TX 78201-2039
Phone (210) 575-8289

6800 W Ih
10 Suite 130
San Antonio, TX 78201-2039
Phone (210) 932-1487

Hospital & facility affiliations

  • Christus Vna Homecare San Antonio Home health agency, San Antonio, TX, CCN 457777
  • Methodist Healthcare at Home Home health agency, San Antonio, TX, CCN 679424
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Ut Health San Antonio Multispecialty & Research Ho Hospital, San Antonio, TX, CCN 670335

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J0386TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Physician Practices, PLLC Internal Medicine CurrentSince Sep 1, 2012 Accepting new patients
Imed Healthcare Associates, PLLC Internal Medicine Past Accepting new patients
Methodist Medical Group, PLLC Internal Medicine Past Accepting new patients

Locations

12702 N Interstate 35
Live Oak, TX 78233
Phone (210) 650-9669

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195

1139 E Sonterra Blvd
Ste 405
San Antonio, TX 78258
Phone (210) 404-0000

1303 McCullough Ave
Ste 560
San Antonio, TX 78212
Phone (210) 223-9617

Interoperability endpoints

  • Direct secure messaging: harrison.yoo@hca7.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1083699243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 E SONTERRA BLVD STE 405",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584352",
            "telephone_number": "210-404-0000",
            "fax_number": "201-404-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E SONTERRA BLVD",
            "address_2": "SUITE #405",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584347",
            "telephone_number": "210-404-0000",
            "fax_number": "210-404-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "HARRISON",
        "middle_name": "WONHEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J0386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118818707",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DL464",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01164920",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HARRISON.YOO@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1139 E Sonterra Blvd",
            "address_2": "SUITE #405",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782584347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.