NPIMap

Individual provider Active NPI

Dale Patrick Yu, MD

  • Internal Medicine Physician
  • Fairfield, OH
National Provider Identifier
1174506646
Registry record updated Mar 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35082624 Issued in OH
Practice address
5184 Sandy LN
Fairfield, OH 45014-2738
Phone
(513) 868-1786
Fax
(513) 868-1758
NPI assigned
Nov 29, 2005
Last updated
Mar 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35082624 OH Primary

Addresses

Primary practice location

5184 Sandy LN
Fairfield, OH 45014-2738

Mailing address

5184 Sandy LN
Fairfield, OH 45014-2738
Phone (513) 868-1786

Other identifiers 1

IdentifierTypeStateIssuer
2408773MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050304000040 OH Practitioner - Internal Medicine 8325092125 Reassigns benefits to 2 organizations
Practice locations: Fairfield, OH

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5184 Sandy LN
Fairfield, OH 45014-2738
Phone (513) 868-1786

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.9 of 100Reported as individual
Quality
80.62
Improvement activities
40
Cost
76.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35082624OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield-Hamilton Internal Medicine Inc. Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Mercy Health - Fairfield Hospital LLC Past Accepting new patients
Fairfield Hospitalists Inc Internal Medicine Past Accepting new patients
Hospital Services Medical Group of Clark County Inc Internal Medicine Past Accepting new patients
Hospitalist Services Medical Group of Marysville Inc Internal Medicine Past Accepting new patients

Locations

5184 Sandy Ln
Fairfield, OH 45014
Phone (513) 868-1786

Interoperability endpoints

  • Direct secure messaging: dale.yu.1@1528.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1528/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206230400000",
    "number": "1174506646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5184 SANDY LN",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142738",
            "telephone_number": "513-868-1786",
            "fax_number": "513-868-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5184 SANDY LN",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142738",
            "telephone_number": "513-868-1786",
            "fax_number": "513-868-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "DALE",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2008-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35082624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2408773",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.