Individual provider Active NPI

Matthew David Yocum, M.D.

  • Pediatrics Physician
  • Minneapolis, MN
National Provider Identifier
1497199236
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
61512 Issued in MN
Practice address
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone
(612) 672-7422
NPI assigned
Apr 23, 2013
Last updated
Jul 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 61512 MN Primary

Addresses

Primary practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Mailing address

909 Fulton St SE
Minneapolis, MN 55455-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CA2 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
I20170724002812 MN Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8426354812 Reassigns benefits to 5 organizations
I20221027003025 CA Practitioner - HospitalistPractitioner - Internal Medicine 8426354812 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Medical College of Wisconsin, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-4029

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61512MNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Sep 23, 2022 Accepting new patients
Fairview Clinics CurrentSince Apr 20, 2020 Accepting new patients
Fairview Bethesda Hospital CurrentSince Apr 20, 2020 Accepting new patients
Healtheast Medical Research Institute CurrentSince Jun 10, 2020 Accepting new patients
Fairview Health Services Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Jun 10, 2020 Accepting new patients
University of California San Francisco CurrentSince Sep 23, 2022 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast St. John's Hospital CurrentSince Apr 20, 2020 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 23, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 23, 2022 Accepting new patients
Fairview Clinics Current Accepting new patients
University of California San Francisco CurrentSince Sep 23, 2022 Accepting new patients
Fairview Health Services CurrentSince Jul 21, 2017 Accepting new patients
Healtheast Care System CurrentSince Apr 20, 2020 Accepting new patients
Fairview Clinics CurrentSince Apr 20, 2020 Accepting new patients
University of California San Francisco Past Accepting new patients
Fairview Health Services Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Regents of the University of California Past Accepting new patients
North Memorial Health Care Past Accepting new patients

Locations

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

2849 Johnson St NE
Minneapolis, MN 55418
Phone (612) 672-1900

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

Interoperability endpoints

  • Direct secure messaging: myocum53994@direct-ucsfmedicalcenter.org

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 1

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501200000000",
    "number": "1497199236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 FULTON ST SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554554800",
            "fax_number": "612-625-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541450",
            "telephone_number": "612-672-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOCUM",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-23",
        "last_updated": "2017-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "61512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.