Individual provider Active NPI

Ji Yoon Yoon, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Irving, TX
National Provider Identifier
1326277286
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
Q0598 Issued in TX
Practice address
6655 N Macarthur Blvd
Irving, TX 75039-2443
Phone
(214) 277-8700
Fax
(214) 596-7484
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 4301094973 MI
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 4301094973 MI
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X Q0598 TX Primary

Addresses

Primary practice location

6655 N Macarthur Blvd
Irving, TX 75039-2443

Mailing address

PO Box 841363
Dallas, TX 75284-3163
Phone (888) 344-1160

Other names 1

  • Dr. Ji Yoon Yoon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140915000926 TX Practitioner - Pathology 6608010194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metroplex Pathology AssociatesGroup PAC ID 9638077340, 16 clinicians

Practice addresses (Care Compare)

1111 S Freeport Pkwy
Coppell, TX 75019-4435
Phone (214) 277-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301094973MIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inform Diagnostics, Inc. Anatomic Pathology & Clinical Pathology Current Accepting new patients
Metroplex Pathology Associates Anatomic Pathology & Clinical Pathology CurrentSince Aug 18, 2014 Accepting new patients

Locations

1111 S Freeport Pkwy
Coppell, TX 75019
Phone (214) 277-8700

6655 N MacArthur Blvd
Irving, TX 75039
Phone (214) 277-8700

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.

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1326277286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841363",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752843163",
            "telephone_number": "888-344-1160",
            "fax_number": "972-331-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392443",
            "telephone_number": "214-277-8700",
            "fax_number": "214-596-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "JI YOON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MI",
            "license": "4301094973",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "4301094973",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "Q0598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JI YOON",
            "last_name": "YOON",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.