Individual provider Active NPI

Pyongsoo D Yoon, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Scottsdale, AZ
National Provider Identifier
1437126455
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
74796 Issued in AZ
Practice address
13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone
(480) 301-8000
NPI assigned
Mar 8, 2006
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD047295L PA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2019-02286 NC
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35072815 OH
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 74796 AZ Primary

Addresses

Primary practice location

13400 E Shea Blvd
Scottsdale, AZ 85259-5499

Mailing address

13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone (480) 301-8000

Other practice location 1

257 McDowell St
Asheville, NC 28803-2606
Phone (412) 748-6484

Other identifiers 3

IdentifierTypeStateIssuer
2064377MedicaidOH
1437126455MedicaidNC
001526368MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pyoon2390860@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160526001886 PA Practitioner - Thoracic Surgery 4880750744 Reassigns benefits to 1 organization
I20241226002257 AZ Practitioner - Cardiac Surgery 4880750744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
Virginia Commonwealth University, School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mayo Clinic ArizonaGroup PAC ID 7012829930, 1,618 clinicians

Practice addresses (Care Compare)

13400 E Shea Blvd
Scottsdale, AZ 85259-5404
Phone (480) 301-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)34
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35072815OHMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD047295LPAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forum Health Enterprises Co Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2016 Accepting new patients
Mayo Clinic Arizona CurrentSince Nov 29, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2016 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Mayo Clinic Arizona CurrentSince Nov 29, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

13400 E Shea Blvd
Scottsdale, AZ 85259

500 Gypsy Ln
Youngstown, OH 44504
Phone (330) 740-4572

500 Gypsy Ln
Ste 101
Youngstown, OH 44504
Phone (330) 740-5800

500 Gypsy Ln
Ste 200
Youngstown, OH 44504
Phone (412) 359-8074

200 Lothrop St
#58
Pittsburgh, PA 15213
Phone (412) 647-6000

200 Lothrop St
Ste 5B
Pittsburgh, PA 15213
Phone (412) 647-6000

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

9100 Babcock Blvd
Ste 1135
Pittsburgh, PA 15237
Phone (412) 748-6484

Interoperability endpoints

  • Direct secure messaging: pyoon2390860@ehrdirect.mayoclinicmsg.org

Organizations & group practices 7

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1437126455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595499",
            "telephone_number": "480-301-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595499",
            "telephone_number": "480-301-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "257 McDowell St",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288032606",
            "country_code": "US",
            "telephone_number": "412-748-6484",
            "fax_number": "412-748-7150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOON",
        "first_name": "PYONGSOO",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD047295L",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NC",
            "license": "2019-02286",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35072815",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "74796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2064377",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437126455",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001526368",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pyoon2390860@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "13400 E Shea Blvd",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852595499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.