Individual provider Active NPI

James M Yun, MD

  • Otolaryngology Physician
  • Roseburg, OR
National Provider Identifier
1144273566
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD26302 Issued in OR
Practice address
2423 NW Troost St
Roseburg, OR 97471-1706
Phone
(541) 677-3400
Fax
(541) 677-3405
NPI assigned
May 18, 2006
Last updated
Nov 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD26302 OR Primary

Addresses

Primary practice location

2423 NW Troost St
Roseburg, OR 97471-1706

Mailing address

2423 NW Troost St
Roseburg, OR 97471-1706
Phone (541) 677-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20060526000051 OR Practitioner - Otolaryngology 6608887955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Hahnemann University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James M Yun MD PCGroup PAC ID 0244371672, 3 clinicians

Practice addresses (Care Compare)

2423 NW Troost St
Roseburg, OR 97471-1706
Phone (541) 677-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD26302ORMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James M Yun MD PC Otolaryngology CurrentSince Nov 23, 2009 Accepting new patients

Locations

2423 NW Troost St
Roseburg, OR 97471
Phone (541) 464-0788

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGACCD/Endpoint/HGACCD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1144273566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 NW TROOST ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711706",
            "telephone_number": "541-677-3400",
            "fax_number": "541-677-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 NW TROOST ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711706",
            "telephone_number": "541-677-3400",
            "fax_number": "541-677-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OR",
            "license": "MD26302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.