Individual provider Active NPI

Dong Yu, DPM

  • Podiatrist
  • Lynnwood, WA
National Provider Identifier
1285111328
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO61237766 Issued in WA
Practice address
3500 188TH St SW Ste 110
Lynnwood, WA 98037-4757
Phone
(425) 778-5666
Fax
(425) 771-5374
NPI assigned
Jul 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO61237766 WA Primary

Addresses

Primary practice location

3500 188TH St SW Ste 110
Lynnwood, WA 98037-4757

Mailing address

3500 188TH St SW Ste 110
Lynnwood, WA 98037-4757
Phone (425) 778-5666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220629003762 WA Practitioner - Podiatry 6305226895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3500 188TH St SW
Suite 110
Lynnwood, WA 98037-4757
Phone (425) 778-5666

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of skin lesions1-10
Removal of nail tissue416
Removal or shaving of skin growth144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO61237766WAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alderwood Ankle & Foot Clinic P.S. Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Alderwood Ankle & Foot Clinic P.S. Single Specialty CurrentSince Aug 1, 2022 Accepting new patients

Locations

9514 4th St NE
Unit 201
Lake Stevens, WA 98258
Phone (425) 397-7401

3500 188th St SW
Ste 110
Lynnwood, WA 98037
Phone (425) 778-5666

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1532217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1285111328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 188TH ST SW STE 110",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374757",
            "telephone_number": "425-778-5666",
            "fax_number": "425-771-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 188TH ST SW STE 110",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374757",
            "telephone_number": "425-778-5666",
            "fax_number": "425-771-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "DONG",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-22",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO61237766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.