Individual provider Active NPI

Daniel Yeoun, DO, MPH

  • Gastroenterology Physician
  • Flushing, NY
National Provider Identifier
1245624121
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
293750 Issued in NY
Practice address
3808 Union St Ste 13a
Flushing, NY 11354-5674
Phone
(718) 362-6298
NPI assigned
Mar 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X 293750 NY Primary

Addresses

Primary practice location

3808 Union St Ste 13a
Flushing, NY 11354-5674

Mailing address

3808 Union St Ste 13a
Flushing, NY 11354-5674
Phone (718) 362-6298

Other practice location 1

749 61st St Ste 402
Brooklyn, NY 11220-5163
Phone (718) 362-6388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210303000032 NY Practitioner - Gastroenterology 4688917511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Nova Southeastern College of Osteo Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

2455 Hylan Blvd
Staten Island, NY 10306-3146
Phone (718) 362-6886

3808 Union St
Suite 13a
Flushing, NY 11354-5674
Phone (718) 939-5213

4235 Main St
Flushing, NY 11355-3969

729 61St St
Brooklyn, NY 11220-4211
Phone (718) 362-6788

745 61St St
FL 1
Brooklyn, NY 11220-4211
Phone (718) 888-7907

8686 Bay Pkwy
Suite M1
Brooklyn, NY 11214-5193
Phone (718) 372-0888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy28
Upper gastrointestinal (GI) endoscopy for acid reflux25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
293750NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown True Care Medical PLLC CurrentSince Nov 23, 2022 Accepting new patients

Locations

749 61st St
Ste 402
Brooklyn, NY 11220
Phone (718) 362-6388

757 60th St
Ste 1
Brooklyn, NY 11220
Phone (718) 567-8899

8255 Broadway
Elmhurst, NY 11373
Phone (347) 749-4808

2619 Francis Lewis Blvd
Flushing, NY 11358
Phone (718) 224-7186

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

3808 Union St
Ste 13A
Flushing, NY 11354
Phone (718) 362-6298

2455 Hylan Blvd
Staten Island, NY 10306
Phone (718) 362-6886

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 1

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": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1245624121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 UNION ST STE 13A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545674",
            "telephone_number": "718-362-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 UNION ST STE 13A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545674",
            "telephone_number": "718-362-6298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "749 61st St Ste 402",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112205163",
            "country_code": "US",
            "telephone_number": "718-362-6388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEOUN",
        "first_name": "DANIEL",
        "credential": "DO, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-27",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "293750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.