Individual provider Active NPI

Ho Yim, DPM

  • Podiatrist
  • Flushing, NY
National Provider Identifier
1306846951
Registry record updated Apr 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N006039 Issued in NY
Practice address
4231 Colden St
Suite 205
Flushing, NY 11355-3977
Phone
(718) 961-9593
Fax
(718) 961-9594
NPI assigned
Jul 26, 2005
Last updated
Apr 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N006039 NY Primary
Foot Surgery Podiatrist 213ES0131X N006039 NY

Addresses

Primary practice location

4231 Colden St
Suite 205
Flushing, NY 11355-3977

Mailing address

35 Shiloh St
Staten Island, NY 10314-4815
Phone (646) 423-0625

Other identifiers 1

IdentifierTypeStateIssuer
02611181MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111000047 NY Practitioner - Podiatry 2264495126 Practice locations: Flushing, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4231 Colden St
Suite 205
Flushing, NY 11355-3981
Phone (718) 886-6868

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions44
Removal of nail tissue2683
Removal or shaving of skin growth2570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006039NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Caledonian Health Center Past Accepting new patients
Gao Medical PLLC Past Accepting new patients
Midas Chiropractic P.C. Past Accepting new patients
Cy Podiatry P.C. PastSince Nov 13, 2021 Accepting new patients
Lafayette Medical Office, PC Podiatrist Past Accepting new patients
Chinatown True Care Medical PLLC PastSince Dec 24, 2019 Accepting new patients

Networks

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

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, 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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208736000000",
    "number": "1306846951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SHILOH ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144815",
            "telephone_number": "646-423-0625",
            "fax_number": "718-513-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 COLDEN ST",
            "address_2": "SUITE 205",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553977",
            "telephone_number": "718-961-9593",
            "fax_number": "718-961-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIM",
        "first_name": "HO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2008-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006039",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006039",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02611181",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.