Active NPI
Benjamin R Yu, M.D.
- Psychiatry Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD216912
- Practice address
- 4800 Sand Point Way NE
Ms Oa.5.154
Seattle, WA 98105-3901 - Phone
- (206) 987-3268
- Fax
- (206) 988-2246
- NPI assigned
- Mar 22, 2017
- Last updated
- Dec 5, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Psychiatry Physician | 2084P0800X | MD.61174247 | WA | |
| Psychiatry Physician | 2084P0800X | 63716 | CT | |
| Psychiatry Physician | 2084P0800X | MD216912 | OR | Primary |
Addresses
Primary practice location
4800 Sand Point Way NE
Ms Oa.5.154
Seattle, WA 98105-3901
Mailing address
5415 SW Westgate Dr
Portland, OR 97221-2409
Phone (503) 645-3581
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 Compare- Specialty
- Psychiatry
- Education
- Perelman School of Med at the University of Pennsylvania, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
971 SW Walnut St
Hillsboro, OR 97123-5651
Phone (503) 640-5297
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.61174247 | WA | MD | Psychiatry 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 | |
| Providence Health & Services - Oregon | Current | Accepting 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 | |
| Providence Health & Services Oregon | Psychiatry | Current | Accepting new patients |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients |
Locations
200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550
1500 Division St
Oregon City, OR 97045
Phone (503) 646-1631
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
Interoperability endpoints
- benjamin.yu@xdr.hhchealthdirect.org
Organizations & group practices 11
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.
-
- Mental Health Counselor
- Portland, OR
- NPI 1467408013
-
dba Providence Portland Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
dba Providence St Vincent Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
dba Providence Willamette Falls Medical Center
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
-
dba Providence Medical Group
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
dba Providence Willamette Falls Medical Center
- Clinical Pathology Physician
- Oregon City, OR
- NPI 1003368911
-
dba Providence Medical Group
- Oral & Maxillofacial Surgery (D.M.D.)
- Portland, OR
- NPI 1407109937
-
dba Providence Portland Medical Center
- Clinical Pathology Physician
- Portland, OR
- NPI 1740732650
-
dba Prov St. Vincent Medical Ctr
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
-
dba Providence Portland Medical Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
-
dba Providence Medical Group
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1568993590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5415 SW WESTGATE DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972212409",
"telephone_number": "503-645-3581",
"fax_number": "917-420-0297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY NE",
"address_2": "MS OA.5.154",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053901",
"telephone_number": "206-987-3268",
"fax_number": "206-988-2246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "BENJAMIN",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-22",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD.61174247",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "63716",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "MD216912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.