Jonathan H Yu, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

88812 Issued in GA

Practice address

2300 Ramsey St
Fayetteville, NC 28301-3856

Phone

(910) 488-2120

NPI assigned

Mar 28, 2011

Last updated

Apr 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, GA, OH, TX4 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 4

Specialty

Diagnostic Radiology

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Mobile Ultrasound LLCGroup PAC ID 4183761893, 16 clinicians

Kan-Di-Ki LLCGroup PAC ID 5991737140, 38 clinicians

Reono Bertagnolli a Medical GroupGroup PAC ID 6800709783, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Community Mobile Ultrasound, LLC

  dba TridentCare

  • Diagnostic Ultrasound Physician
  • Oceanside, CA
  • NPI 1760620959

  GA, TX

  Medicare reassignment Care Compare group
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • North Hollywood, CA
  • NPI 1750364345

  GA, TX

  Medicare reassignment Care Compare group
• Reono Bertagnolli a Medical Group

  dba Rely Radiology Group of California

  • Diagnostic Radiology Physician
  • San Leandro, CA
  • NPI 1134424005

  GA, NC, OH, TX

  Medicare reassignment Care Compare group
• American Diagnostics Services LLC

  dba TridentCare

  • Physiological Laboratory
  • Windsor Mill, MD
  • NPI 1639140387

  TX

  Medicare reassignment
• Community Mobile Diagnostics LLC

  dba Tridentcare

  • Diagnostic Radiology Physician
  • San Leandro, CA
  • NPI 1023104007

  GA, TX

  Medicare reassignment
• Symphony Diagnostic Services No 1 LLC

  dba MobilexUSA

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Hunt Valley, MD
  • NPI 1700865094

  GA, TX

  Medicare reassignment
• Symphony Diagnostic Services No 1 LLC

  dba MobilexUSA

  • Physiological Laboratory
  • Clearwater, FL
  • NPI 1932376233
  NPD
• American Diagnostics Services LLC

  dba TridentCare

  • Physiological Laboratory
  • Hunt Valley, MD
  • NPI 1487954913
  NPD (past)

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1366731531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5573 BRENDLYNN DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247698",
            "telephone_number": "224-515-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013856",
            "telephone_number": "910-488-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "JONATHAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-28",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "88812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter L Young
• Joseph Jonathan Youngblood, COUNSELOR
• Your Perfect Choice Home Care Inc.
• Youth Development Corporation of America (Caring Family Network)
• Karen Elizabeth Yowell, LCMHC
• Sunny Yu, DDS
• Barbara Joy Mathes Yurkutat, OTR/L
• Yvette McAlister Stokes, DDS, PA
• Lauren Hollenbach Zachary, PHARM.D.
• Dimiter Hristov Zafirov, M.D.

• Diagnostic Radiology Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.