Individual provider Active NPI

Seungjong Michael Yoo

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1598084568
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P3491 Issued in TX
Practice address
3500 Gaston Ave
4 Roberts
Dallas, TX 75246-2017
Phone
(214) 820-3000
NPI assigned
May 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X P3491 TX Primary

Addresses

Primary practice location

3500 Gaston Ave
4 Roberts
Dallas, TX 75246-2017

Mailing address

3500 Gaston Ave
4 Roberts
Dallas, TX 75246-2017

Other identifiers 2

IdentifierTypeStateIssuer
3357089-01MedicaidTX
P01339943OtherTXMEDICARE RR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address syoo262419@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140121001340 TX Practitioner - Internal Medicine 9133357122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4708 Alliance Blvd
Suite 550
Plano, TX 75093-5363
Phone (469) 800-6140

6601 Preston Rd
Plano, TX 75024-2502
Phone (469) 326-3400

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

  • Accentcare Home Health of McKinney Home health agency, McKinney, TX, CCN 679236
  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082
  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P3491TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network--Dallas Diagnostic Association Internal Medicine CurrentSince May 15, 2017 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 1, 2019 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 1, 2019 Accepting new patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
Healthtexas-Dallas Diagnostic Association Internal Medicine CurrentSince May 15, 2017 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

3500 Gaston Ave
#4
Dallas, TX 75246
Phone (214) 820-1000

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

3600 Gaston Ave
Ste 558
Dallas, TX 75246

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

700 Walter Reed Blvd
Ste 203
Garland, TX 75042
Phone (972) 426-9900

4716 Alliance Blvd
Ste 500
Plano, TX 75093

4700 Alliance Blvd
Ste 400
Plano, TX 75093
Phone (469) 814-6631

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1598084568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "address_2": "4 ROBERTS",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "address_2": "4 ROBERTS",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017",
            "telephone_number": "214-820-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "SEUNGJONG",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-28",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P3491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3357089-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P01339943",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "syoo262419@direct.sw.org",
            "affiliation": "N",
            "address_1": "4716 Alliance Blvd Ste 500",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750935386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.