Individual provider Active NPI

Yun Pan Scott, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chesapeake, VA
National Provider Identifier
1457845562
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301316 Issued in VA
Practice address
109 Wimbledon SQ Ste F
Chesapeake, VA 23320-4945
Phone
(757) 979-4028
NPI assigned
Jun 21, 2018
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301316 VA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X PO4127 FL

Addresses

Primary practice location

109 Wimbledon SQ Ste F
Chesapeake, VA 23320-4945

Mailing address

109 Wimbledon SQ Ste F
Chesapeake, VA 23320-4945
Phone (757) 698-4177

Other names 1

  • Dr. Yun Pan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, GU2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210401000225 VA Practitioner - Podiatry 4587071998 Reassigns benefits to 2 organizations
I20250916002248 GU Practitioner - Podiatry 4587071998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18 Portola Ave
Santa Rita, GU 96915

224 Essex Dr
Chesapeake, VA 23320-4710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4127FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marianas Footcare Clinic Foot & Ankle Surgery CurrentSince Sep 2, 2025 Accepting new patients
Eastern Virginia Foot and Ankle PLLC Foot & Ankle Surgery CurrentSince Jul 1, 2021 Accepting new patients
Pedirite Medical VA PLLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

109 Wimbledon Sq
Ste F
Chesapeake, VA 23320
Phone (757) 436-9898

831 E Ellerslie Ave
South Chesterfield, VA 23834
Phone (718) 298-7345

4445 Corporation Ln
Ste 264
Virginia Beach, VA 23462
Phone (561) 556-2656

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1457845562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WIMBLEDON SQ STE F",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204945",
            "telephone_number": "757-698-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WIMBLEDON SQ STE F",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204945",
            "telephone_number": "757-979-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "YUN",
        "middle_name": "PAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301316",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YUN",
            "last_name": "PAN",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.