Active NPI
Kyung H Yoo, NP
- Primary Care Nurse Practitioner
- Westminster, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- R220320
- Practice address
- 10 Distillery Rd Ste 200
Westminster, MD 21157-5344 - Phone
- (410) 871-1478
- NPI assigned
- Jan 13, 2022
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | R220320 | MD | Primary |
Addresses
Primary practice location
10 Distillery Rd Ste 200
Westminster, MD 21157-5344
Mailing address
10 Distillery Rd Ste 200
Westminster, MD 21157-5344
Phone (410) 871-1478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10 Distillery Rd
Suite 200
Westminster, MD 21157-5344
Phone (410) 871-1478
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R220320 | MD | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Medical Group, Inc | Current | Accepting new patients | |
| Access Carroll, Inc. | Current | Accepting new patients | |
| Chase Brexton Health Services, Inc. | Current | Accepting new patients | |
| Chase Brexton Health Services, Inc. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Mercy Ijoma-Family Health Connections | Past | Accepting new patients |
Locations
1111 N Charles St
Baltimore, MD 21201
Phone (410) 486-5991
900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120
2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119
10 Distillery Rd
Ste 200
Westminster, MD 21157
Phone (410) 871-1478
6901 Security Blvd
Ste 200
Windsor Mill, MD 21244
Interoperability endpoints
- kyung.yoo.1@9462.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Westminster, MD
- NPI 1891113221
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1588606305
-
- Internal Medicine Physician
- Columbia, MD
- NPI 1144409194
-
- Federally Qualified Health Center (FQHC)
- Columbia, MD
- NPI 1376589309
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Primary Care Clinic/Center
- Ellicott City, MD
- NPI 1598203812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1154072908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 DISTILLERY RD STE 200",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211575344",
"telephone_number": "410-871-1478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 DISTILLERY RD STE 200",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211575344",
"telephone_number": "410-871-1478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "KYUNG",
"middle_name": "H",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-13",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MD",
"license": "R220320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.