Individual provider Active NPI

Paul Hyunsoo Yi

  • Diagnostic Radiology Physician
  • Memphis, TN
National Provider Identifier
1235549270
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
72312 Issued in TN
Practice address
262 Danny Thomas PL Dept of
Memphis, TN 38105-3678
Phone
(901) 595-3300
NPI assigned
Apr 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 6472-851 WI
Diagnostic Radiology Physician 2085R0202X D85195 MD
Diagnostic Radiology Physician 2085R0202X 72312 TN Primary

Addresses

Primary practice location

262 Danny Thomas PL Dept of
Memphis, TN 38105-3678

Mailing address

22 S Greene St
Dept of Radiology
Baltimore, MD 21201-1542
Phone (410) 328-3477

Other identifiers 2

IdentifierTypeStateIssuer
028007496MedicaidDC
778063001MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, TN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200625000878 MD Practitioner - Diagnostic Radiology 3476833260 Reassigns benefits to 4 organizations
I20210607001678 DC Practitioner - Diagnostic Radiology 3476833260 Reassigns benefits to 1 organization
I20241217004408 TN Practitioner - Diagnostic Radiology 3476833260 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72312TNMDAdult Psychiatric/Mental Health Registered Nurse
D85195MDMDDiagnostic Radiology Physician
6472-851WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Jude Children'S Research Hospital, Inc. CurrentSince Oct 14, 2024 Accepting new patients
University Imaging Center, LLC Diagnostic Radiology CurrentSince Jul 26, 2021 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology CurrentSince Jul 26, 2021 Accepting new patients
University Imaging Center, LLC Diagnostic Radiology CurrentSince Jul 26, 2021 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Diagnostic Radiology CurrentSince Jul 26, 2021 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2020 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Diagnostic Radiology CurrentSince Jul 26, 2021 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology CurrentSince Jul 26, 2021 Accepting new patients

Locations

601 N Caroline St
Ste 3142
Baltimore, MD 21287
Phone (410) 287-2917

22 S Greene St
Rm N2E23
Baltimore, MD 21201
Phone (410) 328-5656

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

5 N La Plata Ct
Ste 104
La Plata, MD 20646
Phone (301) 539-0345

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

262 Danny Thomas Pl
Memphis, TN 38105
Phone (888) 226-4343

262 Danny Thomas Pl
#515
Memphis, TN 38105
Phone (901) 495-3006

Interoperability endpoints

  • Direct secure messaging: pyi406328@direct.hopkinsmedicine.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1235549270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "DEPT OF RADIOLOGY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011542",
            "telephone_number": "410-328-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 DANNY THOMAS PL DEPT OF",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381053678",
            "telephone_number": "901-595-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "PAUL",
        "middle_name": "HYUNSOO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "6472-851",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D85195",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "72312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028007496",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "778063001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.