Active NPI
Henry H Yu, M.D., D.M.D., PH.D.
- Otolaryngology Physician
- Marlow Heights, MD
National Provider Identifier
1225035009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- D0030256
- Practice address
- 3710 Riviera St
Suite G-2
Marlow Heights, MD 20748-1719 - Phone
- (301) 423-6211
- Fax
- (301) 423-7846
- NPI assigned
- Jul 7, 2005
- Reactivated
- Mar 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | D0030256 | MD | Primary |
Addresses
Primary practice location
3710 Riviera St
Suite G-2
Marlow Heights, MD 20748-1719
Mailing address
3710 Riviera St
Suite G-2
Marlow Heights, MD 20748-1719
Phone (301) 423-6211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0030256 | MD | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1225035009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 RIVIERA ST",
"address_2": "SUITE G-2",
"city": "MARLOW HEIGHTS",
"state": "MD",
"postal_code": "207481719",
"telephone_number": "301-423-6211",
"fax_number": "301-423-7846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 RIVIERA ST",
"address_2": "SUITE G-2",
"city": "MARLOW HEIGHTS",
"state": "MD",
"postal_code": "207481719",
"telephone_number": "301-423-6211",
"fax_number": "301-423-7846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "HENRY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D., D.M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2010-07-06",
"deactivation_date": "2006-03-20",
"reactivation_date": "2006-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MD",
"license": "D0030256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marlow Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.