Active NPI
Yu-Tze NG, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 04-47849
- Practice address
- 12200 W 106TH St Ste 400
Overland Park, KS 66215-2305 - Phone
- (913) 214-8060
- Fax
- (573) 884-0943
- NPI assigned
- Aug 19, 2006
- Last updated
- Mar 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 2020040471 | MO | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 04-47849 | KS | Primary |
Addresses
Primary practice location
12200 W 106TH St Ste 400
Overland Park, KS 66215-2305
Mailing address
12200 W 106TH St Ste 400
Overland Park, KS 66215-2305
Phone (913) 214-8060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200091004 | Medicaid | MO | |
| 715104 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neuropsychiatry
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1045 E 23Rd St
Lawrence, KS 66046-5003
Phone (785) 393-6167
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interpersonal Psychiatry, LLC | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Curators of the University of Missouri | Past | Accepting new patients |
Locations
1045 E 23rd St
Lawrence, KS 66046
Phone (785) 727-0126
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190
Interoperability endpoints
- https://api.platform.athenahealth.com/8687/brand/1/csg/21/fhir/r4
- https://fhir4.healow.com/fhir/r4/GJBFDD/Endpoint/GJBFDD
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.
-
- Psychiatry Physician
- Lawrence, KS
- NPI 1134556087
-
dba BCM Physicians of San Antonio
- Pediatrics Physician
- San Antonio, TX
- NPI 1285079764
-
dba Mizzou Pharmacy - Southwest Blvd
- Community/Retail Pharmacy
- Jefferson City, MO
- NPI 1740083641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1215041942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12200 W 106TH ST STE 400",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662152305",
"telephone_number": "913-214-8060",
"fax_number": "573-884-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 W 106TH ST STE 400",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662152305",
"telephone_number": "913-214-8060",
"fax_number": "573-884-0943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "YU-TZE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "MO",
"license": "2020040471",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "KS",
"license": "04-47849",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200091004",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "715104",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.