Active NPI
Elliot Woong-Joone Yoo, M.D.
- Physical Medicine & Rehabilitation Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD190481
- Practice address
- 5050 NE Hoyt St Ste 454
Portland, OR 97213 - Phone
- (503) 215-6168
- NPI assigned
- Apr 23, 2012
- Last updated
- Jun 10, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD190481 | OR | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | MD190481 | OR |
Addresses
Primary practice location
5050 NE Hoyt St Ste 454
Portland, OR 97213
Mailing address
PO Box 3158
Portland, OR 97208-3158
Other practice location 1
15 Parkman St Fl Street3
Boston, MA 02114-3117
Phone (617) 726-8810
Other practice location 2
5050 NE Hoyt St Ste 454
Portland, OR 97213
Phone (503) 215-6168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500655128 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.65 of 100
- Quality
- 86.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.36
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.11 of 100
- Quality
- 72.02
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 75.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD190481 | OR | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Pain Care Specialists of Oregon, LLC | Current | Accepting new patients | |
| Pain Care Specialists, PC | Past | Accepting new patients |
Locations
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
2480 Liberty St NE
Ste 180
Salem, OR 97301
Phone (503) 371-1010
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CACHAA
Organizations & group practices 5
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.
-
- Pain Medicine (Anesthesiology) Physician
- Salem, OR
- NPI 1942675467
-
dba Providence Portland Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
dba Providence Portland Medical Center
- Clinical Pathology Physician
- Portland, OR
- NPI 1740732650
-
dba Providence Portland Medical Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
-
- Pain Medicine (Anesthesiology) Physician
- Salem, OR
- NPI 1023243474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1508123944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 NE HOYT ST STE 454",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97213",
"telephone_number": "503-215-6168"
}
],
"practiceLocations": [
{
"address_1": "15 Parkman St Fl Street3",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021143117",
"country_code": "US",
"telephone_number": "617-726-8810",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5050 NE Hoyt St Ste 454",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "97213",
"country_code": "US",
"telephone_number": "503-215-6168",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOO",
"first_name": "ELLIOT",
"middle_name": "WOONG-JOONE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-23",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OR",
"license": "MD190481",
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "OR",
"license": "MD190481",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500655128",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.