Individual provider Active NPI

William D Yu, MD

  • Nephrology Physician
  • Landover, MD
National Provider Identifier
1386651552
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0054775 Issued in MD
Practice address
1019 Brightseat Rd
Landover, MD 20785-3738
Phone
(301) 350-6009
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D0054775 MD Primary

Addresses

Primary practice location

1019 Brightseat Rd
Landover, MD 20785-3738

Mailing address

1019 Brightseat Rd
Landover, MD 20785-3738
Phone (301) 350-6009

Other identifiers 7

IdentifierTypeStateIssuer
038051600MedicaidDC
P00376606OtherDCRR MEDICARE
71808309OtherMDCAREFIRST BCBS
1398771OtherMDAETNA
03010001OtherDCCAREFIRST BCBS
258704100MedicaidMD
P00343350OtherMDRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 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
I20060113000310 MD Practitioner - NephrologyPractitioner - Internal Medicine 3779506936 Reassigns benefits to 2 organizations
I20060119000311 DC Practitioner - Nephrology 3779506936 Reassigns benefits to 1 organization
I20180709003071 VA Practitioner - NephrologyPractitioner - Internal Medicine 3779506936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Boston University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Institute of Virginia LLCGroup PAC ID 4587832944, 10 clinicians
Metropolitan Vascular Institute LLCGroup PAC ID 6709139363, shared by 2 NPIs, 4 clinicians

Practice addresses (Care Compare)

13135 Route 50
Fairfax, VA 22033-1907
Phone (703) 763-5224

14085 Crown CT
Woodbridge, VA 22193-1458
Phone (703) 763-5224

3015 Technology PL
Suite 100
Waldorf, MD 20601-4988
Phone (301) 374-8540

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fauquier Physician Practices LLC CurrentSince Mar 1, 2020 Accepting new patients
Vascular Institute of Virginia LLC Nephrology CurrentSince Jul 7, 2018 Accepting new patients
Metropolitan Vascular Institute LLC Nephrology CurrentSince Mar 24, 2022 Accepting new patients
Metropolitan Vascular Institute LLC Nephrology CurrentSince May 13, 2019 Accepting new patients
Mid-Atlantic Nephrology Associates PA Nephrology Past Accepting new patients
Vascular Access Centers of Chicago LLC Nephrology Past Accepting new patients

Locations

3015 Technology Pl
Ste 110
Waldorf, MD 20601
Phone (301) 374-8540

12070 Old Line Ctr
Ste 210
Waldorf, MD 20602
Phone (240) 629-3952

3015 Technology Pl
Ste 100
Waldorf, MD 20601
Phone (301) 374-8540

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

13135 Route 50
Ste 145
Fairfax, VA 22033
Phone (703) 378-1360

1440 Central Park Blvd
Ste 108
Fredericksburg, VA 22401
Phone (703) 763-5224

550 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5940

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

14085 Crown Ct
Woodbridge, VA 22193
Phone (703) 763-5224

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1386651552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 BRIGHTSEAT RD",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207853738",
            "telephone_number": "301-350-6009",
            "fax_number": "301-350-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 BRIGHTSEAT RD",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207853738",
            "telephone_number": "301-350-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0054775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038051600",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00376606",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "71808309",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1398771",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "03010001",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258704100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00343350",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Landover, MD

Sources for this page

Verify at the official NPI Registry.