Individual provider Active NPI

Mahmut Genco Yucel, MD

  • Interventional Cardiology Physician
  • San Francisco, CA
National Provider Identifier
1104453091
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036.159779 Issued in IL
Practice address
1515 Union St Unit 2a
San Francisco, CA 94123-4581
Phone
(510) 631-3252
NPI assigned
Mar 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2029123759 ZZ
Cardiovascular Disease Physician 207RC0000X 036.159779 IL
Interventional Cardiology Physician 207RI0011X MD2024-1050 NM
Interventional Cardiology Physician 207RI0011X 036.159779 IL Primary
Interventional Cardiology Physician 207RI0011X MD218938 OR
Interventional Cardiology Physician 207RI0011X 2029123759 ZZ

Addresses

Primary practice location

1515 Union St Unit 2a
San Francisco, CA 94123-4581

Mailing address

1515 Union St Unit 2a
San Francisco, CA 94123-4581
Phone (510) 631-3252

Other practice location 1

3311 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 484-4332

Other practice location 2

407 S Schwartz Ave Ste 202
Farmington, NM 87401-5925
Phone (505) 609-6770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IL, OR, NM, CA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20220323000504 NE Practitioner - Interventional Cardiology 9638564974 Reassigns benefits to 2 organizations
I20221201000567 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9638564974 Reassigns benefits to 2 organizations
I20240423004377 OR Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9638564974 Reassigns benefits to 2 organizations
I20241217002284 NM Practitioner - Interventional Cardiology 9638564974 Reassigns benefits to 1 organization
I20260501003037 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9638564974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services - OregonGroup PAC ID 3476450560, 41 clinicians
Providence Health and Services OregonGroup PAC ID 5294623245, 166 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Practice addresses (Care Compare)

1111 Crater Lake Ave
Medford, OR 97504-6241
Phone (541) 732-5250

1332 S Shasta Ave
Suite a
Eagle Point, OR 97524-8623
Phone (541) 826-8160

1698 E McAndrews Rd
Medford, OR 97504-5590

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

940 Royal Ave
Medford, OR 97504-6194

965 Ellendale Dr
Medford, OR 97504-8215
Phone (541) 732-6000

Hospital & facility affiliations

  • Providence Medford Medical Center Hospital, Medford, OR, CCN 380075
  • Javon Bea Hospital Hospital, Rockford, IL, CCN 140239

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting32
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2029123759ZZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
Rockford Health Physicians CurrentSince Feb 20, 2023 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Peacehealth Cardiovascular Disease CurrentSince Nov 26, 2025 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Nov 25, 2024 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Dec 31, 2022 Accepting new patients
North Platte Nebraska Hospital Corporation Cardiovascular Disease CurrentSince Jan 21, 2022 Accepting new patients
Providence Health & Services - Oregon CurrentSince May 1, 2024 Accepting new patients
CHI Health Clinic Specialty, LLC CurrentSince Aug 10, 2022 Accepting new patients
Decatur Memorial Hospital Cardiovascular Disease CurrentSince Aug 13, 2023 Accepting new patients
Providence Health & Services - Oregon CurrentSince May 1, 2024 Accepting new patients
Decatur Memorial Hospital CurrentSince Aug 13, 2023 Accepting new patients
San Juan Regional Medical Center Inc Cardiovascular Disease CurrentSince Nov 25, 2024 Accepting new patients
San Juan Regional Medical Center Inc Current Accepting new patients
Providence Health & Services - Oregon CurrentSince May 1, 2024 Accepting new patients
Providence Health & Services - Oregon CurrentSince May 1, 2024 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Dec 31, 2022 Accepting new patients
Peacehealth Medical Group Past Accepting new patients

Locations

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

747 N Rutledge St
Springfield, IL 62702
Phone (217) 545-6112

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011

4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610

407 S Schwartz Ave
Ste 202
Farmington, NM 87401
Phone (505) 609-6595

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460

2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700

3311 Riverbend Dr
Fl 3
Springfield, OR 97477
Phone (541) 484-4332

3311 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3531

Interoperability endpoints

  • Direct secure messaging: myucel366400@direct.nebraskamed.com
  • Direct secure messaging: myucel3271589@oc.providencedirect.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 2

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1104453091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 UNION ST UNIT 2A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234581",
            "telephone_number": "510-631-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 UNION ST UNIT 2A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234581",
            "telephone_number": "510-631-3252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3311 Riverbend Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778800",
            "country_code": "US",
            "telephone_number": "541-484-4332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 S Schwartz Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874015925",
            "country_code": "US",
            "telephone_number": "505-609-6770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUCEL",
        "first_name": "MAHMUT",
        "middle_name": "GENCO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ZZ",
            "license": "2029123759",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036.159779",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NM",
            "license": "MD2024-1050",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036.159779",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OR",
            "license": "MD218938",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "ZZ",
            "license": "2029123759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.