Alexander Chan Yu, MD, PHD

Key facts

NPI

1760614283

Entity type

Individual (NPI type 1)

Primary specialty

Allergy & Immunology Physician 207K00000X

License

MD159961 (OR)

Practice address

5040 SW Griffith Dr Ste 201
Beaverton, OR 97005-8721

Phone

(503) 486-4481

Fax

(570) 243-0932

NPI assigned

Aug 17, 2009

Sex

Male

Sole proprietor

No

Organizations & group practices 7

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.

• Pacific Allergy LLC Allergy & Immunology Physician · Beaverton, OR · NPI 1992303317
  Medicare reassignment NPD Authorized official ALLERGY & IMMUNOLOGY · OR
• University Professional Services General Practice Physician · Portland, OR · NPI 1376709535
  Medicare reassignment NPD OR
• Miranda McCormack, M.D., LLC Primary Care Clinic/Center · Beaverton, OR · NPI 1043488166
  NPD
• University Professional Services Pharmacy · Beaverton, OR · NPI 1073054714
  NPD
• Clackamas Dermatology PC Dermatology Physician · Clackamas, OR · NPI 1700221397
  NPD (past)
• Know Allergy LLC Allergy Physician · Portland, OR · NPI 1265034987
  NPD (past)
• West Hills Allergy and Asthma Associates LLC Allergy Physician · Portland, OR · NPI 1336744713
  NPD (past)

Medicare Care Compare profile

Specialty

Allergy/Immunology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 23, 2024.

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1760614283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10562",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972960562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 SW GRIFFITH DR STE 201",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970058721",
            "telephone_number": "503-486-4481",
            "fax_number": "570-243-0932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-4300",
            "fax_number": "503-494-4323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "ALEXANDER",
        "middle_name": "CHAN",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-17",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OR",
            "license": "MD159961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David S. Young, D.C.
• Michelle Dianne Young, ND, LAC
• Masa Safic Youngblood, RDH
• Diana Youssef, PHARMD
• Chien-Ching Yu
• Luna Yu
• Shannon Katy Zahler, R.PH.
• Melissa Zamora, BSN, RN, CCM
• Hector Zaragoza, MSW

All providers in Beaverton, OR · Allergy & Immunology Physician in Oregon