Organization Active NPI

Zhi Yu, MD, PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Jacksonville, FL
National Provider Identifier
1316273535
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME76867 Issued in FL
Legal business name
ZHI YU, MD, PLLC
Practice address
4221 Stacey Rd E
Jacksonville, FL 32250-2100
Phone
(904) 226-0493
Fax
(904) 998-7322
NPI assigned
Oct 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
Mr. Zhi J Yu, MDNPI 1861506644
Title
President
Phone
(904) 226-0493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X ME76867 FL Primary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X ARNP2007072 FL

Addresses

Primary practice location

4221 Stacey Rd E
Jacksonville, FL 32250-2100

Mailing address

4221 Stacey Rd E
Jacksonville, FL 32250-2100
Phone (904) 226-0493

Other identifiers 1

IdentifierTypeStateIssuer
257417900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111227000030 FL Part B Supplier - Clinic/Group Practice 7315113339 Receives reassigned benefits from 5 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1316273535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 STACEY RD E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322502100",
            "telephone_number": "904-226-0493",
            "fax_number": "904-998-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 STACEY RD E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322502100",
            "telephone_number": "904-226-0493",
            "fax_number": "904-998-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZHI YU, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "ZHI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-226-0493",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME76867",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ARNP2007072",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257417900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.