Individual provider Active NPI

Min Yu, MD

  • Psychiatry Physician
  • Elkton, MD
National Provider Identifier
1194943332
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D70132 Issued in MD
Practice address
111 W High St
Suite 204
Elkton, MD 21921-5529
Phone
(410) 620-0008
NPI assigned
Apr 23, 2007
Last updated
Mar 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD430774 PA
Psychiatry Physician 2084P0800X D70132 MD Primary
Psychiatry Physician 2084P0800X 25MA08238100 NJ
Neurology Physician 2084N0400X D0070132 MD

Addresses

Primary practice location

111 W High St
Suite 204
Elkton, MD 21921-5529

Mailing address

111 W High St
Suite 204
Elkton, MD 21921-5529
Phone (410) 620-0008

Other identifiers 3

IdentifierTypeStateIssuer
173964Y2BOtherMDMEDICARE NOVITAS
0288080 00MedicaidMD
0182214MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100317000383 MD Practitioner - Psychiatry 4284790742 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0070132MDMDNeurology Physician
25MA08238100NJMDPsychiatry Physician
MD430774PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County Neurology CurrentSince Jan 6, 2010 Accepting new patients
Comptroller of Maryland Central Payroll Bureau CurrentSince Jul 15, 2021 Accepting new patients
Union Hospital of Cecil County Health Services, Inc CurrentSince Jan 1, 2013 Accepting new patients
Camden County Health Services Center PastSince Jun 30, 2008 Accepting new patients

Locations

300 W Preston St
Ste 402
Baltimore, MD 21201
Phone (410) 767-2940

5262 Woods Rd
Cambridge, MD 21613
Phone (410) 221-2300

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

111 W High St
Ste 204
Elkton, MD 21921
Phone (410) 392-3007

123 Singerly Ave
Elkton, MD 21921
Phone (410) 392-2686

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1194943332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W HIGH ST",
            "address_2": "SUITE 204",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215529",
            "telephone_number": "410-620-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W HIGH ST",
            "address_2": "SUITE 204",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215529",
            "telephone_number": "410-620-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "MIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD430774",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D70132",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08238100",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0070132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NOVITAS",
            "identifier": "173964Y2B",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0288080 00",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0182214",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.