Active NPI
Austin T Yu, MD
- Pediatrics Physician
- Las Vegas, NV
National Provider Identifier
1265499685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20858
- Practice address
- 10105 Banburry Cross Drive
Suite 370
Las Vegas, NV 89144 - Phone
- (702) 260-2545
- Fax
- (702) 869-0133
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20858 | NV | Primary |
Addresses
Primary practice location
10105 Banburry Cross Drive
Suite 370
Las Vegas, NV 89144
Mailing address
10105 Banburry Cross Drive
Suite 370
Las Vegas, NV 89144
Phone (702) 260-2545
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G18648 | Other | MI | HEALTH ALLIANCE PLANS |
| 001012 | Other | MI | MIDWEST HEALTH PLANS |
| 350H210660 | Other | MI | BCBSM/BCN |
| 50317 | Other | MI | OMNICARE HEALTH PLANS |
| 3199450 | Medicaid | MI | |
| 41604 | Other | MI | OMNICARE HEALTH PLANS |
| 149304 | Other | MI | GREAT LAKES HEALTH PLANS |
| 020691 | Other | MI | MIDWEST HEALTH PLANS |
| 108884 | Other | MI | GREAT LAKES HEALTH PLANS |
| 350Q260790 | Other | MI | BCBSM/BCN |
| 4164960 | Medicaid | MI |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20858 | NV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring Valley Medical Center | Past | Accepting new patients | |
| Desert Valley Pediatrics, LLP | Pediatrics | Past | Accepting new patients |
| Summerlin Hospital Medical Center L L C | Past | Accepting new patients | |
| Centennial Hills Hospital Medical Center | Past | Accepting new patients | |
| Southern Hills Medical Center, LLC | Past | Accepting new patients | |
| Oakwood Healthcare, Inc. | Past | Accepting new patients |
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1265499685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10105 BANBURRY CROSS DRIVE",
"address_2": "SUITE 370",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89144",
"telephone_number": "702-260-2545",
"fax_number": "702-869-0133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10105 BANBURRY CROSS DRIVE",
"address_2": "SUITE 370",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89144",
"telephone_number": "702-260-2545",
"fax_number": "702-869-0133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "AUSTIN",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "20858",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLANS",
"identifier": "G18648",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDWEST HEALTH PLANS",
"identifier": "001012",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM/BCN",
"identifier": "350H210660",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMNICARE HEALTH PLANS",
"identifier": "50317",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3199450",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMNICARE HEALTH PLANS",
"identifier": "41604",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLANS",
"identifier": "149304",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDWEST HEALTH PLANS",
"identifier": "020691",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLANS",
"identifier": "108884",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM/BCN",
"identifier": "350Q260790",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4164960",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.