Individual provider Active NPI

Michael J Yun, MD

  • Anesthesiology Physician
  • Wheaton, MD
National Provider Identifier
1699733105
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
62276 Issued in MD
Practice address
2730 University Blvd W
Ste 104
Wheaton, MD 20902-1905
Phone
(301) 942-8799
NPI assigned
May 3, 2006
Last updated
Oct 24, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 62276 MD Primary

Addresses

Primary practice location

2730 University Blvd W
Ste 104
Wheaton, MD 20902-1905

Mailing address

804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051029000174 DC Practitioner - Anesthesiology 1456378306 Reassigns benefits to 3 organizations
I20221005001935 MD Practitioner - Anesthesiology 1456378306 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10700 Charter Dr
Suite 301
Columbia, MD 21044-3695
Phone (410) 910-2301

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62276MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Anesthesiology Associate PA Anesthesiology CurrentSince Aug 1, 2005 Accepting new patients
Medstar Medical Group Anesthesiology LLC Anesthesiology CurrentSince Oct 2, 2022 Accepting new patients
Medstar Medical Group Anesthesiology LLC Anesthesiology CurrentSince Oct 2, 2022 Accepting new patients
Comfort Sedation LLC CurrentSince Dec 1, 2022 Accepting new patients
GBMC Hospital Based Services, LLC. Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
Anesthesia Company, LLC Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients

Locations

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

810 Bestgate Rd
Ste 120
Annapolis, MD 21401

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

6401 N Charles St
Rm 4226
Baltimore, MD 21212
Phone (443) 849-2121

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

10700 Charter Dr
Ste 301
Columbia, MD 21044
Phone (410) 730-0099

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

10110 Molecular Dr
Ste 100
Rockville, MD 20850
Phone (301) 838-0437

11400 Rockville Pike
Ste C25
Rockville, MD 20852
Phone (301) 761-4760

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631

2730 University Blvd W
Ste 104
Wheaton, MD 20902
Phone (301) 942-8799

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, 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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1699733105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SCOTT NIXON MEMORIAL DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 UNIVERSITY BLVD W",
            "address_2": "STE 104",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209021905",
            "telephone_number": "301-942-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "62276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, MD

Sources for this page

Verify at the official NPI Registry.