Individual provider Active NPI

Yu-Tze NG, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Overland Park, KS
National Provider Identifier
1215041942
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
04-47849 Issued in KS
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200091004MedicaidMO
715104MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140926001111 TX Practitioner - NeurologyPractitioner - Pediatric Medicine 3779577093 Reassigns benefits to 1 organization
I20250618000131 KS Practitioner - NeuropsychiatryPractitioner - Neurology 3779577093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeuropsychiatryAlso: Neurology
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Interpersonal Psychiatry LLCGroup PAC ID 9739310343, 15 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Interpersonal Psychiatry, LLC CurrentSince May 29, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Aug 14, 2014 Accepting new patients
Curators of the University of Missouri PastSince Oct 1, 2022 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

  • FHIR API: https://api.platform.athenahealth.com/8687/brand/1/csg/21/fhir/r4
  • FHIR API: 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.

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

Verify at the official NPI Registry.