Individual provider Active NPI

Charles Yi

  • Internal Medicine Physician
  • South Bend, IN
National Provider Identifier
1407506744
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01100618A Issued in IN
Practice address
615 N Michigan St FL 1
South Bend, IN 46601-1033
Phone
(574) 647-3050
Fax
(574) 647-1091
NPI assigned
Mar 28, 2022
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01100618A IN Primary

Addresses

Primary practice location

615 N Michigan St FL 1
South Bend, IN 46601-1033

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-3725

Other practice location 1

600 East Blvd Fl 4
Elkhart, IN 46514-2483
Phone (574) 389-7393

Other identifiers 1

IdentifierTypeStateIssuer
300135546MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240710002856 AL Practitioner - Internal Medicine 8820471709 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Massachusetts Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gmuc of SaralandGroup PAC ID 8820211436, 39 clinicians
Greater Mobile Urgent CareGroup PAC ID 1456429281, 50 clinicians
Inpatient Consultants of Alabama, IncGroup PAC ID 6709983422, 18 clinicians
Gmuc of Springhill LLCGroup PAC ID 6901091156, 34 clinicians

Practice addresses (Care Compare)

1114 Shelton Beach Rd
Saraland, AL 36571-3016
Phone (251) 633-0123

2350 Schillinger Rd S
Suite a
Mobile, AL 36695-4177
Phone (251) 633-0123

2451 University Hospital Dr
Mobile, AL 36617-2300
Phone (251) 471-7000

3719 Dauphin St
Mobile, AL 36608-1753
Phone (251) 344-9630

4402 Old Shell Rd
Mobile, AL 36608-1912
Phone (251) 633-0123

75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555

750 Morphy Ave
Fairhope, AL 36532-1812
Phone (251) 928-2375

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.47904ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gmuc of Citronelle LLC CurrentSince Jun 1, 2024 Accepting new patients
Greater Mobile Urgent Care CurrentSince Jun 1, 2024 Accepting new patients
Inpatient Consultants of Alabama, Inc Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
Greater Mobile Urgent Care CurrentSince Jun 1, 2024 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Jul 1, 2025 Accepting new patients
Gmuc of Springhill LLC CurrentSince Jun 1, 2024 Accepting new patients
Gmuc of Saraland CurrentSince Jun 1, 2024 Accepting new patients
USA Health Physician Billing Services LLC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Beacon Medical Group, Inc. Internal Medicine PastSince Sep 28, 2026 Accepting new patients
Beacon Medical Group Inc PastSince Sep 28, 2026 Accepting new patients

Locations

19355 N 3rd St
Ste 104
Citronelle, AL 36522
Phone (251) 633-0123

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

575 Stanton Rd
Mobile, AL 36617
Phone (251) 471-7207

4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

2451 University Hospital Dr
Rm 714
Mobile, AL 36617
Phone (251) 445-8282

2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123

1114 Shelton Beach Rd
Saraland, AL 36571
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618

Organizations & group practices 10

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 3

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": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1407506744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "telephone_number": "574-647-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N MICHIGAN ST FL 1",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011033",
            "telephone_number": "574-647-3050",
            "fax_number": "574-647-1091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 East Blvd Fl 4",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465142483",
            "country_code": "US",
            "telephone_number": "574-389-7393",
            "fax_number": "574-647-1094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YI",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01100618A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300135546",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.