Individual provider Active NPI

Robert Phillip Yim, MD

  • Pediatric Pulmonology Physician
  • Bel Air, MD
National Provider Identifier
1497953939
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
MD036417 Issued in DC
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

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
413069301MedicaidMD

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

LicenseStateTypeSpecialty
MD036417DCMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Nov 17, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dryim@gyrpediatrics.opdirect.net
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.