Active NPI
Shengyang Kevin Yu, MD
- Otolaryngology Physician
- San Jose, CA
National Provider Identifier
1720614787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A210769
- Practice address
- 225 N Jackson Ave
San Jose, CA 95116-1603 - Phone
- (408) 259-5000
- NPI assigned
- Mar 20, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | A210769 | CA | Primary |
Addresses
Primary practice location
225 N Jackson Ave
San Jose, CA 95116-1603
Mailing address
6317 9TH Ave NE
Unit D
Seattle, WA 98195-2204
Phone (206) 598-4022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200715000345 | WA | Order and Referring Only - Otolaryngology | 3274956826 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1720614787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6317 9TH AVE NE",
"address_2": "UNIT D",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981952204",
"telephone_number": "206-598-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 N JACKSON AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161603",
"telephone_number": "408-259-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "SHENGYANG",
"middle_name": "KEVIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-20",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A210769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.