Sun(Susan) W Yim, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102203731 Issued in VA

Practice address

1149 Seminole TRL
Charlottesville, VA 22901-2897

Phone

(434) 978-3998

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Family Practice

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johnson Health CenterGroup PAC ID 9537060413, 39 clinicians

Bon Secours Urgent Care LLCGroup PAC ID 6709256142, 125 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Bon Secours Urgent Care LLC

  • Urgent Care Clinic/Center
  • Glen Allen, VA
  • NPI 1265160501
  Medicare reassignment Care Compare group NPD
• Johnson Health Center

  • Federally Qualified Health Center (FQHC)
  • Lynchburg, VA
  • NPI 1316926538
  Medicare reassignment Care Compare group NPD
• Medexpress Urgent Care, PC - Virginia

  • Urgent Care Clinic/Center
  • Bluefield, VA
  • NPI 1215219878

  Family Medicine

  Medicare reassignment NPD
• University of Virginia Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charlottesville, VA
  • NPI 1033138250
  Medicare reassignment NPD
• Johnson Health Center

  • Federally Qualified Health Center (FQHC)
  • Madison Heights, VA
  • NPI 1972858660
  NPD
• Medexpress Urgent Care, PC - Virginia

  • Urgent Care Clinic/Center
  • Richmond, VA
  • NPI 1225563679

  Family Medicine

  NPD
• Medexpress Urgent Care, PC - Virginia

  • Urgent Care Clinic/Center
  • Roanoke, VA
  • NPI 1417211343
  NPD
• Christie Clinic, PLLC

  • Internal Medicine Physician
  • Champaign, IL
  • NPI 1871523829

  Family Medicine

  NPD (past)
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)
• Hospital & Medical Foundation of Paris, Inc.

  • Clinic/Center
  • Paris, IL
  • NPI 1629280367

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1104921063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 HYLAND CREEK CIR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113591",
            "telephone_number": "217-840-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 SEMINOLE TRL",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012897",
            "telephone_number": "434-978-3998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21054A Timberlake Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245027327",
            "country_code": "US",
            "telephone_number": "434-239-0627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YIM",
        "first_name": "SUN(SUSAN)",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102203731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0533210001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hemasree Yeluru, MD
• Terrance A. Yemen, M.D.
• Chun-PO Yen, M.D.
• Miguel Yerena, MD
• Lauren Yi, MD
• Veronica M Yockey, LCSW
• Amber Kaye Yoder, M.D.
• Matthew Yoder, PHD
• Su-Ern Jenica Yong, MBBS
• Cynthia M. Yoshida, M.D.

• Family Medicine Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.

Verify at the official NPI Registry.