Individual provider Active NPI

Duke Sang Young Yoo III, D.P.M.

  • Podiatrist
  • North Haven, CT
National Provider Identifier
1295812378
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000745 Issued in CT
Practice address
83 Washington Ave
North Haven, CT 06473-1704
Phone
(203) 787-3800
Fax
(203) 787-0004
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000745 CT Primary

Addresses

Primary practice location

83 Washington Ave
North Haven, CT 06473-1704

Mailing address

11 Robby LN
East Haven, CT 06512-1072
Phone (860) 874-2351

Other identifiers 1

IdentifierTypeStateIssuer
BY6681553OtherD.E.A. NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20040611001179 CT Practitioner - Podiatry 4082697727 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Podiatrists of North HavenGroup PAC ID 9830283795, 5 clinicians

Practice addresses (Care Compare)

83 Washington Ave
North Haven, CT 06473-1704
Phone (203) 787-3800

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue181
Removal of skin lesions48
Removal of nail tissue1181
Removal or shaving of skin growth1102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000745CTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Podiatry Partners, PLLC Podiatrist CurrentSince Oct 24, 2022 Accepting new patients
Associated Podiatrists of North Haven CurrentSince Jan 1, 2015 Accepting new patients
Advanced Medical Footcare, LLC Podiatrist PastSince Mar 5, 2016 Accepting new patients
Associated Podiatrist of Fairfield, LLC Podiatrist PastSince Jan 1, 2015 Accepting new patients

Locations

83 Washington Ave
North Haven, CT 06473
Phone (203) 285-8624

12 Village St
North Haven, CT 06473
Phone (203) 777-2044

850 N Main Street Ext
Ste 2A2
Wallingford, CT 06492
Phone (203) 314-9493

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEBJDD

Organizations & group practices 5

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1295812378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROBBY LN",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065121072",
            "telephone_number": "860-874-2351",
            "fax_number": "203-787-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 WASHINGTON AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731704",
            "telephone_number": "203-787-3800",
            "fax_number": "203-787-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "DUKE",
        "middle_name": "SANG YOUNG",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D.E.A. NUMBER",
            "identifier": "BY6681553",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.