Active NPI
David Jin Yu, M.D.
- Hospitalist Physician
- Saint Louis, MO
National Provider Identifier
1740247378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 2017017877
- Practice address
- 11133 Dunn Rd Ste 2427
Saint Louis, MO 63136-6163 - Phone
- (314) 653-5343
- Fax
- (314) 653-5648
- NPI assigned
- Apr 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036-089154 | IL | |
| Hospitalist Physician | 208M00000X | 2017017877 | MO | Primary |
Addresses
Primary practice location
11133 Dunn Rd Ste 2427
Saint Louis, MO 63136-6163
Mailing address
670 Mason Ridge Center Dr Ste 300
Saint Louis, MO 63141-8573
Phone (314) 996-7642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036089154 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-089154 | IL | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521763200000",
"number": "1740247378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 MASON RIDGE CENTER DR STE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418573",
"telephone_number": "314-996-7642",
"fax_number": "314-996-7658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11133 DUNN RD STE 2427",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631366163",
"telephone_number": "314-653-5343",
"fax_number": "314-653-5648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "DAVID",
"middle_name": "JIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2018-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036-089154",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "2017017877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036089154",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.