Individual provider Active NPI

Nam Keun Yoon, M.D.

  • Neurological Surgery Physician
  • Murray, UT
National Provider Identifier
1194083915
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
9489360-1205 Issued in UT
Practice address
5171 S Cottonwood St Ste 950
Murray, UT 84107-5713
Phone
(801) 507-9555
Fax
(801) 507-9550
NPI assigned
Apr 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 9489360-1205 UT Primary

Addresses

Primary practice location

5171 S Cottonwood St Ste 950
Murray, UT 84107-5713

Mailing address

5171 S Cottonwood St Ste 950
Murray, UT 84107-5713
Phone (801) 507-9555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinical@nsamd.directgreeenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20200617001985 UT Practitioner - Neurosurgery 4183922966 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Loma Linda University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
Neurosurgical Associates LLCGroup PAC ID 4587578224, 11 clinicians

Practice addresses (Care Compare)

5121 S Cottonwood St
Murray, UT 84107-5701
Phone (801) 507-7000

5171 S Cottonwood St
Suite 810
Murray, UT 84107-5705
Phone (801) 507-9800

5171 S Cottonwood St
Suite 950
Murray, UT 84107-5713
Phone (801) 507-9555

Hospital & facility affiliations

  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010
  • St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion54
Laminectomy or laminotomy (partial removal of spine bones)21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Aug 10, 2020 Accepting new patients
Ihc Health Services, Inc. CurrentSince Aug 10, 2020 Accepting new patients
Neurosurgical Associates LLC Neurological Surgery CurrentSince Aug 10, 2020 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Baptist Neurology Inc PastSince Jul 1, 2019 Accepting new patients
Ihc Health Services Inc Neurological Surgery Past Accepting new patients

Locations

900 Round Valley Dr
Ste 100
Park City, UT 84060
Phone (435) 655-6600

5171 S Cottonwood St
Ste 950
Salt Lake City, UT 84107
Phone (801) 507-9555

5171 S Cottonwood St
Ste 810
Salt Lake City, UT 84107
Phone (801) 507-9800

5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1194083915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5171 S COTTONWOOD ST STE 950",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075713",
            "telephone_number": "801-507-9555",
            "fax_number": "801-507-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5171 S COTTONWOOD ST STE 950",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075713",
            "telephone_number": "801-507-9555",
            "fax_number": "801-507-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "NAM",
        "middle_name": "KEUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "UT",
            "license": "9489360-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinical@nsamd.directgreeenway.com",
            "affiliation": "N",
            "endpointDescription": "Intergy Direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5171 S Cottonwood St Ste 950",
            "city": "Murray",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841075713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.