NPIMap

Individual provider Active NPI

Eric Younghee Yoon, M.D.

  • Ophthalmology Physician
  • South Bend, IN
National Provider Identifier
1417992199
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01063553A Issued in IN
Practice address
707 North Michigan Street, Suite 210
South Bend, IN 46601-1069
Phone
(574) 233-2114
Fax
(574) 288-8921
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01063553A IN Primary

Addresses

Primary practice location

707 North Michigan Street, Suite 210
South Bend, IN 46601-1069

Mailing address

707 North Michigan Street, Suite 210
South Bend, IN 46601-1069
Phone (574) 233-2114

Other identifiers 1

IdentifierTypeStateIssuer
300020291MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eyoon@aom.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070611000520 IN Practitioner - Ophthalmology 8325140619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Ophthalmology of Michiana LLCGroup PAC ID 3678528403, 3 clinicians

Practice addresses (Care Compare)

707 N Michigan St
Suite 210
South Bend, IN 46601-1069
Phone (574) 233-2114

Hospital & facility affiliations

  • Unity Physicians Hospital Hospital, Mishawaka, IN, CCN 150177
  • Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058

Merit-based Incentive Payment System (MIPS)

Final score
92.97 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01063553AINMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ophthalmology of Michiana LLC CurrentSince Jul 1, 2007 Accepting new patients
Advanced Ophthalmology of Michiana LLC Ophthalmology CurrentSince Jul 1, 2007 Accepting new patients

Locations

707 N Michigan St
Ste 210
South Bend, IN 46601
Phone (219) 233-2114

Interoperability endpoints

  • Direct secure messaging: eyoon1147662@direct.trinity-health.org

Organizations & group practices 2

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.

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1417992199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 NORTH MICHIGAN STREET, SUITE 210",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011069",
            "telephone_number": "574-233-2114",
            "fax_number": "574-288-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 NORTH MICHIGAN STREET, SUITE 210",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011069",
            "telephone_number": "574-233-2114",
            "fax_number": "574-288-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "ERIC",
        "middle_name": "YOUNGHEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01063553A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300020291",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eyoon@aom.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "707 North Michigan Street, Suite 210",
            "city": "South Bend",
            "state": "IN",
            "country_code": "US",
            "postal_code": "466011069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.