Individual provider Active NPI

In Soo Yo, MD

  • Surgery Physician
  • Webster, TX
National Provider Identifier
1104891308
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
K9939 Issued in TX
Practice address
450 W Medical Center Blvd
#600
Webster, TX 77598-4234
Phone
(281) 332-4596
Fax
(281) 332-9610
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X K9939 TX Primary

Addresses

Primary practice location

450 W Medical Center Blvd
#600
Webster, TX 77598-4234

Mailing address

450 W Medical Center Blvd
#600
Webster, TX 77598-4234
Phone (281) 332-4596

Other identifiers 7

IdentifierTypeStateIssuer
8V5438OtherTXHMO BLUE
P00772809OtherTXRAILROAD MEDICARE
045396102MedicaidTX
8U9952OtherTXBCBS
045396103MedicaidTX
7601100OtherTXAETNA
P00351137OtherTXRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address INSOO.YO@hca9.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
I20060209000445 TX Practitioner - General Surgery 4082684543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Texas a & M University System, HSC, College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Specialists of Clear Lake PLLCGroup PAC ID 6103904461, 10 clinicians

Practice addresses (Care Compare)

450 W Med Ctr Blvd
Webster, TX 77598-4233
Phone (281) 332-4596

500 W Medical Ctr Blvd
Clear Lake Regional Medical Center
Webster, TX 77598-4220
Phone (281) 332-4596

502 W Medical Ctr Blvd
Bay Area Surgicare Center
Webster, TX 77598-4220
Phone (281) 332-4596

Hospital & facility affiliations

  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)12
Hernia repair (minimally invasive)13
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K9939TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Specialists of Clear Lake PLLC Surgery CurrentSince Nov 5, 2009 Accepting new patients
Kenneth Hollis, M.D., P.a. Surgery Past Accepting new patients
Utmb Faculty Group Practice Surgery Past Accepting new patients
Southern Texas Physicians Network Inc Past Accepting new patients
Texas Gulf Coast Medical System, Inc Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

450 W Medical Center Blvd
Ste 600
Webster, TX 77598
Phone (281) 338-3270

Interoperability endpoints

  • Direct secure messaging: insoo.yo@hca9.eclinicaldirectplus.com

Organizations & group practices 5

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 1

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1104891308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W MEDICAL CENTER BLVD",
            "address_2": "#600",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984234",
            "telephone_number": "281-332-4596",
            "fax_number": "281-332-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W MEDICAL CENTER BLVD",
            "address_2": "#600",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984234",
            "telephone_number": "281-332-4596",
            "fax_number": "281-332-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YO",
        "first_name": "IN SOO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "K9939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE",
            "identifier": "8V5438",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00772809",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045396102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8U9952",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045396103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7601100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00351137",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "INSOO.YO@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "450 W Medical Center Blvd",
            "address_2": "#600",
            "city": "Webster",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775984234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.