Individual provider Active NPI

Bo Hyun Yoo, M.D.

  • Neurological Surgery Physician
  • Sheffield Village, OH
National Provider Identifier
1487655015
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35077595Y Issued in OH
Practice address
5319 Hoag Dr Ste 100
Sheffield Village, OH 44035-1492
Phone
(440) 930-6015
Fax
(440) 930-6094
NPI assigned
Aug 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 35077595Y OH Primary

Addresses

Primary practice location

5319 Hoag Dr Ste 100
Sheffield Village, OH 44035-1492

Mailing address

5319 Hoag Dr Ste 100
Sheffield Village, OH 44035-1492
Phone (440) 930-6040

Other practice location 1

703 Tyler St
Suite 350
Sandusky, OH 44870-3367
Phone (419) 626-7070 ext. 232

Other identifiers 1

IdentifierTypeStateIssuer
2166169MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20211025001385 WI Practitioner - Neurosurgery 1456255892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000

Hospital & facility affiliations

  • Mercy Health System Corp Hospital, Janesville, WI, CCN 520066
  • Mercy Walworth Hospital & Medical Center Hospital, Lake Geneva, WI, CCN 521357

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion37
Laminectomy or laminotomy (partial removal of spine bones)18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35077595YOHMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince Sep 27, 2021 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 27, 2021 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Interoperability endpoints

  • Direct secure messaging: byoo83891@direct.mhemail.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 2

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": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487655015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 HOAG DR STE 100",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351492",
            "telephone_number": "440-930-6040",
            "fax_number": "440-930-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 HOAG DR STE 100",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351492",
            "telephone_number": "440-930-6015",
            "fax_number": "440-930-6094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Tyler St",
            "address_2": "SUITE 350",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448703367",
            "country_code": "US",
            "telephone_number": "419-626-7070 x232",
            "fax_number": "419-609-0795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOO",
        "first_name": "BO",
        "middle_name": "HYUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35077595Y",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2166169",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield Village, OH

Sources for this page

Verify at the official NPI Registry.