Individual provider Active NPI

Jonathan Yue

  • Pain Medicine (Anesthesiology) Physician
  • Spring, TX
National Provider Identifier
1487185906
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
OS18909 Issued in FL
Practice address
19603 Dianeshire Dr
Spring, TX 77388-6146
Phone
(713) 419-8510
NPI assigned
Mar 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Anesthesiology) Physician 207LP2900X OS18909 FL Primary

Addresses

Primary practice location

19603 Dianeshire Dr
Spring, TX 77388-6146

Mailing address

19603 Dianeshire Dr
Spring, TX 77388-6146
Phone (713) 419-8510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220619000003 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 5395124523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Lake Erie Col of Osteopathic Medicine, Bradenton, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Anesthesia LLCGroup PAC ID 1153385612, 42 clinicians
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (954) 939-5000

6000 49TH St N
St Petersburg, FL 33709-2114
Phone (727) 521-4411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS18909FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Anesthesia LLC CurrentSince Dec 3, 2023 Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Mar 10, 2025 Accepting new patients
Bay Area Anesthesia LLC CurrentSince Dec 3, 2023 Accepting new patients

Locations

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

8787 Bryan Dairy Rd
Ste 300
Seminole, FL 33777
Phone (727) 394-5300

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

4801 N Howard Ave
Tampa, FL 33603
Phone (727) 581-4800

2020 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4055

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.

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": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1487185906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19603 DIANESHIRE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773886146",
            "telephone_number": "713-419-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19603 DIANESHIRE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773886146",
            "telephone_number": "713-419-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUE",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-26",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "OS18909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.