Individual provider Active NPI

Taechin Yu, M.D.

  • Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1104865294
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
14205551-1235 Issued in UT
Practice address
2880 N Tenaya Way Ste 340
Las Vegas, NV 89128-0642
Phone
(702) 255-3547
Fax
(702) 307-2204
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 14205551-1235 UT Primary
Obstetrics & Gynecology Physician 207V00000X MD465915 PA
Obstetrics & Gynecology Physician 207V00000X 22549 NV

Addresses

Primary practice location

2880 N Tenaya Way Ste 340
Las Vegas, NV 89128-0642

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

1380 E Medical Center Dr Ste 1600
St George, UT 84790-2123
Phone (435) 251-4170

Other practice location 2

1650 Huntingdon Pike Ste 118
Meadowbrook, PA 19046-8005
Phone (215) 938-2600

Other practice location 3

6161 Transit Rd
#5
East Amherst, NY 14051-2606
Phone (716) 636-8284

Other identifiers 1

IdentifierTypeStateIssuer
22549OtherNVSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Bluemark LLC/ Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NV2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20181217000705 PA Practitioner - Obstetrics/Gynecology 6305731605 Reassigns benefits to 1 organization
I20220822002853 NV Practitioner - Obstetrics/Gynecology 6305731605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York Medical College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2880 N Tenaya Way
FL 3
Las Vegas, NV 89128-0618
Phone (702) 427-9587

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22549NVMDObstetrics & Gynecology Physician
14205551-1235UTMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northtown OBGYN PC Obstetrics & Gynecology CurrentSince Jul 18, 2002 Accepting new patients
Intermountain Medical Holdings Nevada Inc Obstetrics & Gynecology CurrentSince Sep 6, 2022 Accepting new patients
Main Line Healthcare Obstetrics & Gynecology CurrentSince Nov 1, 2020 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Sep 6, 2022 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
HR Physician Services Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. Past Accepting new patients

Locations

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

2880 N Tenaya Way
Fl 3
Las Vegas, NV 89128
Phone (702) 427-9587

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

6161 Transit Rd
Ste 5
East Amherst, NY 14051
Phone (315) 481-7512

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

1098 W Baltimore Pike
Ste 3308
Media, PA 19063
Phone (610) 565-8564

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1104865294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 N TENAYA WAY STE 340",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280642",
            "telephone_number": "702-255-3547",
            "fax_number": "702-307-2204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 E Medical Center Dr Ste 1600",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847902123",
            "country_code": "US",
            "telephone_number": "435-251-4170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Huntingdon Pike Ste 118",
            "address_purpose": "LOCATION",
            "city": "Meadowbrook",
            "state": "PA",
            "postal_code": "190468005",
            "country_code": "US",
            "telephone_number": "215-938-2600",
            "fax_number": "215-938-9819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6161 Transit Rd",
            "address_2": "#5",
            "address_purpose": "LOCATION",
            "city": "East Amherst",
            "state": "NY",
            "postal_code": "140512606",
            "country_code": "US",
            "telephone_number": "716-636-8284",
            "fax_number": "716-636-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "TAECHIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "UT",
            "license": "14205551-1235",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD465915",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "22549",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "22549",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC/ Office Ally",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.