Individual provider Active NPI

Michael Orin Yung, M.D.

  • Diagnostic Radiology Physician
  • Scottsbluff, NE
National Provider Identifier
1346534294
Registry record updated Mar 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
27791 Issued in NE
Practice address
4021 Avenue B
Scottsbluff, NE 69361-4602
Phone
(303) 761-9190
Fax
(720) 874-4462
NPI assigned
Jun 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 41676 IA
Diagnostic Radiology Physician 2085R0202X 57541 CO
Diagnostic Radiology Physician 2085R0202X 04-39564 KS
Diagnostic Radiology Physician 2085R0202X MD18914 HI
Diagnostic Radiology Physician 2085R0202X 27791 NE Primary

Addresses

Primary practice location

4021 Avenue B
Scottsbluff, NE 69361-4602

Mailing address

10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895
Phone (303) 761-9190

Other identifiers 1

IdentifierTypeStateIssuer
18588506MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, CO, WY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140618001124 NE Practitioner - Diagnostic Radiology 4385877570 Reassigns benefits to 6 organizations
I20170306000913 CO Practitioner - Diagnostic Radiology 4385877570 Reassigns benefits to 4 organizations
I20240711003827 WY Practitioner - Diagnostic Radiology 4385877570 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Nebraska College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Casper Medical Imaging PCGroup PAC ID 8224010871, 25 clinicians
Outpatient Radiology LLCGroup PAC ID 8628051596, 13 clinicians

Practice addresses (Care Compare)

419 S Washington St
Suite 101
Casper, WY 82601-2951
Phone (307) 265-1620

820 W 42ND St
Suite 1500
Scottsbluff, NE 69361-5017
Phone (307) 265-1620

Hospital & facility affiliations

  • Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012
  • Community Hospital Hospital, Torrington, WY, CCN 531307
  • Chadron Hospital Hospital, Chadron, NE, CCN 281341
  • Box Butte General Hospital Hospital, Alliance, NE, CCN 281360
  • Campbell County Health Hospital, Gillette, WY, CCN 530002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57541COMDDiagnostic Radiology Physician
MD18914HIMDDiagnostic Radiology Physician
41676IAMDDiagnostic Radiology Physician
27791NEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Radiologic Associates, LTD. Diagnostic Radiology CurrentSince Apr 22, 2017 Accepting new patients
Unmc Physicians CurrentSince Jul 1, 2016 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Outpatient Radiology LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Casper Medical Imaging, P.C. Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Regional West Medical Center Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Campbell County Hospital District CurrentSince Nov 28, 2024 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Dodge City Diagnostic, LLC CurrentSince Jan 2, 2018 Accepting new patients
Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT Diagnostic Radiology CurrentSince Apr 22, 2017 Accepting new patients
Campbell County Hospital District CurrentSince Nov 28, 2024 Accepting new patients
Garden City Diagnostics LLC CurrentSince Feb 22, 2021 Accepting new patients

Locations

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

10800 E Geddes Ave
Ste 300
Englewood, CO 80112
Phone (303) 791-9190

10700 E Geddes Ave
Ste 200
Englewood, CO 80112

9780 Pyramid Ct
Ste 160
Englewood, CO 80112
Phone (303) 396-9391

2001 70th Ave
Ste 100
Greeley, CO 80634
Phone (970) 352-8487

711 N Taylor St
Gunnison, CO 81230
Phone (970) 641-1456

8200 Southpark Ter
Littleton, CO 80120
Phone (720) 493-3251

2555 E 13th St
Ste 100
Loveland, CO 80537
Phone (970) 461-6193

670 Ponahawai St
Ste 110
Hilo, HI 96720
Phone (808) 933-2540

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

82 Puuhonu Pl
Ste 102
Hilo, HI 96720
Phone (808) 961-4745

75-5653 Kuakini Hwy
Ste 110
Kailua Kona, HI 96740
Phone (808) 329-7314

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

1100 W 2nd St
Oshkosh, NE 69154
Phone (308) 772-3283

820 W 42nd St
Ste 1500
Scottsbluff, NE 69361

4021 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1384

820 W 42nd St
Ste 150
Scottsbluff, NE 69361

Pittsburgh, PA 15251

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

419 S Washington St
Ste 101
Casper, WY 82601
Phone (307) 232-5037

1207 E 2nd St
Casper, WY 82601

6600 E 2nd St
Ste E
Casper, WY 82609
Phone (307) 232-5012

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Regional West Medical CenterScottsbluff, NE, CCN 280061 Hospital Corporate Director Jun 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711843200000",
    "number": "1346534294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 E GEDDES AVE STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123895",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 AVENUE B",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614602",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNG",
        "first_name": "MICHAEL",
        "middle_name": "ORIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "41676",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "57541",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-39564",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MD18914",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "27791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18588506",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

Verify at the official NPI Registry.