Individual provider Active NPI

Kristie Yu, MD

  • Vascular Surgery Physician
  • Dallas, TX
National Provider Identifier
1093334864
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
V9178 Issued in TX
Practice address
8210 Walnut Hill LN Ste 505
Dallas, TX 75231-4420
Phone
(214) 345-4160
Fax
(214) 345-4165
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X V9178 TX Primary

Addresses

Primary practice location

8210 Walnut Hill LN Ste 505
Dallas, TX 75231-4420

Mailing address

8210 Walnut Hill LN Ste 505
Dallas, TX 75231-4420
Phone (214) 345-4160

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
I20250705000147 TX Practitioner - Vascular Surgery 5395259162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Northeastern Ohio University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russell C Lam MD PAGroup PAC ID 1951459080, 12 clinicians

Practice addresses (Care Compare)

1001 N Waldrop Dr
Suite 811
Arlington, TX 76012-4715
Phone (214) 345-4160

Hospital & facility affiliations

  • Texas Health Harris Methodist Hurst-Euless-Bedford Hospital, Bedford, TX, CCN 450639
  • Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Russell C. Lam, M.D., P.a. Vascular Surgery CurrentSince Jun 25, 2025 Accepting new patients
Triadon Corporation Past Accepting new patients

Locations

1001 N Waldrop Dr
Ste 811
Arlington, TX 76012
Phone (214) 345-4160

8210 Walnut Hill Ln
Ste 505
Dallas, TX 75231
Phone (214) 345-4160

Organizations & group practices 2

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 3

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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1093334864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN STE 505",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314420",
            "telephone_number": "214-345-4160",
            "fax_number": "214-345-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN STE 505",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314420",
            "telephone_number": "214-345-4160",
            "fax_number": "214-345-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "KRISTIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "V9178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.