Active NPI
In Soo Yo, MD
- Surgery Physician
- Webster, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- K9939
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8V5438 | Other | TX | HMO BLUE |
| P00772809 | Other | TX | RAILROAD MEDICARE |
| 045396102 | Medicaid | TX | |
| 8U9952 | Other | TX | BCBS |
| 045396103 | Medicaid | TX | |
| 7601100 | Other | TX | AETNA |
| P00351137 | Other | TX | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 12 |
| Hernia repair (minimally invasive) | 13 |
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K9939 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Specialists of Clear Lake PLLC | Surgery | Current | 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
- 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.
-
- Surgery Physician
- Webster, TX
- NPI 1720263221
-
- Surgery Physician
- Friendswood, TX
- NPI 1881628063
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Conroe, TX
- NPI 1538104351
-
- Family Medicine Physician
- Webster, TX
- NPI 1962512160
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Webster, TX
- NPI 1063466035
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.