Active NPI
Bu-Fan Yu, MD
- Diagnostic Radiology Physician
- York, PA
National Provider Identifier
1295711828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD073176L
- Practice address
- 35 Monument Rd
Suite 201
York, PA 17403-5074 - Phone
- (717) 812-4083
- Fax
- (717) 812-4087
- NPI assigned
- Dec 15, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | MD07373176L | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 2004001501 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | MD073176L | PA | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD073176L | PA |
Addresses
Primary practice location
35 Monument Rd
Suite 201
York, PA 17403-5074
Mailing address
1803 Mt. Rose Avenue
Suite B3
York, PA 17403-3051
Phone (717) 851-1405
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1804196 | Other | PA | HIGHMARK BLUE SHIELD |
| 20078619 | Other | PA | AMERIHEALTH MERCY WMG |
| 1573887 | Other | PA | GATEWAY WMG |
| 244783 | Other | PA | UNISON WMG |
| 919374 | Other | MD | CAREFIRST MD BCBS |
| 001906017 | Medicaid | PA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD07373176L | PA | MD | Neuroradiology Physician |
| 2004001501 | MO | MD | Diagnostic Radiology Physician |
| MD073176L | PA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Past | Accepting new patients | |
| TPS IV of PA, LLC | Past | Accepting new patients |
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.
-
- Body Imaging Physician
- Phila, PA
- NPI 1740248905
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1295711828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 MT. ROSE AVENUE",
"address_2": "SUITE B3",
"city": "YORK",
"state": "PA",
"postal_code": "174033051",
"telephone_number": "717-851-1405",
"fax_number": "717-812-4087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MONUMENT RD",
"address_2": "SUITE 201",
"city": "YORK",
"state": "PA",
"postal_code": "174035074",
"telephone_number": "717-812-4083",
"fax_number": "717-812-4087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "BU-FAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "PA",
"license": "MD07373176L",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2004001501",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD073176L",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "PA",
"license": "MD073176L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1804196",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY WMG",
"identifier": "20078619",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY WMG",
"identifier": "1573887",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON WMG",
"identifier": "244783",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "919374",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001906017",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.