Active NPI
Yuriy Yuriyevich Golub, DO
- Family Medicine Physician
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP61172441
- Practice address
- 3915 Talbot Rd S Ste 401
Renton, WA 98055-5738 - Phone
- (425) 690-3445
- Fax
- (425) 690-9445
- NPI assigned
- May 30, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP61172441 | WA | Primary |
Addresses
Primary practice location
3915 Talbot Rd S Ste 401
Renton, WA 98055-5738
Mailing address
3915 Talbot Rd S Ste 401
Renton, WA 98055-5738
Phone (425) 690-3445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Outpatient Services Inc
Practice addresses (Care Compare)
14410 SE Petrovitsky Rd
Suite 104
Renton, WA 98058-8900
Phone (425) 656-4242
2600 Compass Rd
Glenview, IL 60026-8001
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 12 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group-Renton | Family Medicine | Current | Accepting new patients |
| Public Hospital District #1 of King County | Past | Accepting new patients |
Locations
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
3600 Lind Ave SW
Ste 100
Renton, WA 98057
3915 Talbot Rd S
Ste 401
Renton, WA 98055
Phone (425) 656-4224
14410 SE Petrovitsky Rd
Ste 104
Renton, WA 98058
Phone (425) 656-4242
Interoperability endpoints
- ygolub73220@direct.valleymed.org
Organizations & group practices 3
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.
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Rehabilitation Hospital Unit
- Renton, WA
- NPI 1811063308
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Seatac, WA
- NPI 1164848214
-
- Home Health Agency
- Federal Way, WA
- NPI 1033736160
-
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660435200000",
"number": "1447818968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3915 TALBOT RD S STE 401",
"city": "RENTON",
"state": "WA",
"postal_code": "980555738",
"telephone_number": "425-690-3445",
"fax_number": "425-690-9445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 TALBOT RD S STE 401",
"city": "RENTON",
"state": "WA",
"postal_code": "980555738",
"telephone_number": "425-690-3445",
"fax_number": "425-690-9445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLUB",
"first_name": "YURIY",
"middle_name": "YURIYEVICH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-30",
"last_updated": "2022-08-14",
"certification_date": "2022-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP61172441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.