NPIMap

Individual provider Active NPI

John C. L. Yu, M.D.

  • Cardiovascular Disease Physician
  • Pearland, TX
National Provider Identifier
1649203571
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
J7735 Issued in TX
Practice address
1930 Country Place Pkwy Ste 106
Pearland, TX 77584-2138
Phone
(281) 506-7840
Fax
(832) 672-7485
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X J7735 TX Primary

Addresses

Primary practice location

1930 Country Place Pkwy Ste 106
Pearland, TX 77584-2138

Mailing address

10223 Broadway St
Suite P-226
Pearland, TX 77584-7880
Phone (281) 886-4183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040924000782 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 5193794394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1930 Country Place Pkwy
Suite 106
Pearland, TX 77584-2138
Phone (281) 506-7840

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Cardiac Diagnostics and Wellness PLLC Cardiovascular Disease CurrentSince Apr 22, 2013 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Advanced Cardiac Care Association Cardiovascular Disease Past Accepting new patients
Memorial Hermann Medical Group Cardiovascular Disease Past Accepting new patients

Locations

10223 Broadway St
Ste P226
Pearland, TX 77584
Phone (281) 886-4183

1930 Country Place Pkwy
Ste 106
Pearland, TX 77584
Phone (281) 506-7840

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEFFAD/Endpoint/JEFFAD

Organizations & group practices 4

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1649203571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 BROADWAY ST",
            "address_2": "SUITE P-226",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847880",
            "telephone_number": "281-886-4183",
            "fax_number": "713-436-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 COUNTRY PLACE PKWY STE 106",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842138",
            "telephone_number": "281-506-7840",
            "fax_number": "832-672-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "JOHN",
        "middle_name": "C. L.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J7735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.