Sujin Yu, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

K2142 Issued in TX

Practice address

6025 Metropolitan Dr
Suite 205
Beaumont, TX 77706-2407

Phone

(409) 234-7088

Fax

(409) 892-8237

NPI assigned

Jul 21, 2005

Last updated

Mar 31, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

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

Specialty

Neurology

Education

Rush Medical College of Rush University, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brain and Spine Center of Southeast Texas, PLLCGroup PAC ID 4587895727, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346

Merit-based Incentive Payment System (MIPS)

Final score

93.58 of 100Reported as group

Quality

100

Improvement activities

40

Cost

69.84

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Brain and Spine Center of Southeast Texas, PLLC

  dba Spine Tech

  • Neurological Surgery Physician
  • Beaumont, TX
  • NPI 1265865158
  Medicare reassignment Care Compare group NPD
• Texas Neurocare and Spine Institiute PLLC

  • Neurological Surgery Physician
  • Beaumont, TX
  • NPI 1881027779
  Authorized official Same address or phone
• Spinetech Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Beaumont, TX
  • NPI 1497283048

  Specialist

  NPD (past)
• Vision Park Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Shenandoah, TX
  • NPI 1033773023
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Hospitals of Southeast Texas

  dba Baptist Beaumont Hospital

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1710987672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 METROPOLITAN DR",
            "address_2": "SUITE 205",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062407",
            "telephone_number": "409-234-7088",
            "fax_number": "409-892-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 METROPOLITAN DR",
            "address_2": "SUITE 205",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062407",
            "telephone_number": "409-234-7088",
            "fax_number": "409-892-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "SUJIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K2142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS",
            "identifier": "0020HD",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148913001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5194643",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130025171",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030255603",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "A004",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4649893001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "8F3762",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Youngblood, FNP-C
• Marianne Elizabeth Youngblood, FNP-C
• Sarah Youngblood, FNP
• Muhammad Sheraz Yousaf
• John P.S. Yu, O.D.
• Fangzheng Yuan
• Yugal Maheshwari, M.D., P.a.
• Yugal Maheshwari, M.D.,P.a.
• Yugal Maheshwari,MD,PA
• Feras Zabad, MD

• Specialist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.

Verify at the official NPI Registry.