Active NPI
Robert Phillip Yim, MD
- Pediatric Pulmonology Physician
- Bel Air, MD
National Provider Identifier
1497953939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- MD036417
- Practice address
- 602 S Atwood Rd Ste 104
Bel Air, MD 21014-4198 - Phone
- (410) 838-9555
- Fax
- (410) 836-5056
- NPI assigned
- Jul 5, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | MD036417 | DC | Primary |
Addresses
Primary practice location
602 S Atwood Rd Ste 104
Bel Air, MD 21014-4198
Mailing address
602 S Atwood Rd Ste 104
Bel Air, MD 21014-4198
Phone (410) 838-9555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 413069301 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD036417 | DC | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gomez Yim & Rastogi, M.D., P.a. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Gomez Yim & Rastogi, M.D., P.a. | Pediatric Pulmonology | Past | Accepting new patients |
Interoperability endpoints
- dryim@gyrpediatrics.opdirect.net
- ryim483768@direct.umm.edu
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.
-
dba Havre de Grace Pediatric Center
- Pediatrics Physician
- Havre de Grace, MD
- NPI 1154145290
Pediatric Pulmonology
-
dba Bel Air Pediatric Center Havre de Grace Pediatric Center
- Pediatrics Physician
- Bel Air, MD
- NPI 1407980717
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1497953939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 S ATWOOD RD STE 104",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144198",
"telephone_number": "410-838-9555",
"fax_number": "410-836-5056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 S ATWOOD RD STE 104",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144198",
"telephone_number": "410-838-9555",
"fax_number": "410-836-5056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YIM",
"first_name": "ROBERT",
"middle_name": "PHILLIP",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-05",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "DC",
"license": "MD036417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "413069301",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.