Individual provider Active NPI

Meea Yim, DO

  • Family Medicine Physician
  • Lake Katrine, NY
National Provider Identifier
1386265270
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
324166 Issued in NY
Practice address
1561 Ulster Ave
Lake Katrine, NY 12449-5173
Phone
(845) 802-7477
NPI assigned
May 1, 2020
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 324166 NY Primary

Addresses

Primary practice location

1561 Ulster Ave
Lake Katrine, NY 12449-5173

Mailing address

1561 Ulster Ave
Lake Katrine, NY 12449-5173
Phone (845) 802-7477

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231117003176 NY Practitioner - Family Practice 1759739469 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

279 Main St
New Paltz, NY 12561-1623
Phone (845) 255-2930

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Jan 1, 2024 Accepting new patients
Nysarc Inc. Ulster, Greene, Putnam Counties Chapter CurrentSince Jul 1, 2025 Accepting new patients
The Institute for Family Health Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
The Institute for Family Health Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jan 1, 2024 Accepting new patients
Hudson Valley Health Specialties, Inc Past Accepting new patients

Locations

1 Family Practice Dr
Kingston, NY 12401
Phone (845) 338-2562

139 Cornell St
Kingston, NY 12401
Phone (845) 331-4300

471 Albany Ave
Kingston, NY 12401
Phone (845) 331-4300

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

279 Main St
New Paltz, NY 12561
Phone (845) 255-2930

16 E 16th St
New York, NY 10003
Phone (212) 633-0800

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

Philadelphia, PA 19195

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.

Hospital & facility affiliations 4

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": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1386265270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 ULSTER AVE",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495173",
            "telephone_number": "845-802-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 ULSTER AVE",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495173",
            "telephone_number": "845-802-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIM",
        "first_name": "MEEA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "324166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Katrine, NY

Sources for this page

Verify at the official NPI Registry.