Individual provider Active NPI

James Minhyuk Yoo, DO

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1194212241
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T2293 Issued in TX
Practice address
4401 Park Springs Blvd Ste 100
Arlington, TX 76017-1899
Phone
(817) 807-9060
Fax
(817) 419-4505
NPI assigned
Apr 15, 2018
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X T2293 TX Primary

Addresses

Primary practice location

4401 Park Springs Blvd Ste 100
Arlington, TX 76017-1899

Mailing address

4401 Park Springs Blvd Ste 100
Arlington, TX 76017-1899
Phone (817) 807-9060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210719002470 TX Practitioner - Family Practice 4587910112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4401 Park Springs Blvd
Suite 100
Arlington, TX 76017-1899
Phone (817) 807-9060

809 W Randol Mill Rd
Arlington, TX 76012-2507
Phone (817) 460-0257

900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T2293TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC Family Medicine CurrentSince Jul 12, 2021 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Jul 12, 2021 Accepting new patients
Usmd Diagnostic Services, LLC PastSince Jul 1, 2021 Accepting new patients

Locations

4401 Park Springs Blvd
Ste 100
Arlington, TX 76017
Phone (817) 807-9060

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

811 W Interstate 20
Ste G22
Arlington, TX 76017
Phone (817) 468-3393

811 W Interstate 20
Unit G22
Arlington, TX 76017
Phone (817) 807-9060

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: james.yoo@wellmed.eclinicaldirectplus.com

Organizations & group practices 3

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": "1523750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1194212241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 PARK SPRINGS BLVD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171899",
            "telephone_number": "817-807-9060",
            "fax_number": "817-419-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 PARK SPRINGS BLVD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171899",
            "telephone_number": "817-807-9060",
            "fax_number": "817-419-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "JAMES",
        "middle_name": "MINHYUK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-15",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T2293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.