Individual provider Active NPI

Sang Keun Yi, D.O.

  • Emergency Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1760725188
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
007091 Issued in AZ
Practice address
250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone
(480) 492-1466
NPI assigned
Apr 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 007091 AZ Primary

Addresses

Primary practice location

250 E Dunlap Ave
Phoenix, AZ 85020-2825

Mailing address

250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (480) 492-1466

Other names 1

  • Sam Yi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20161223000446 AZ Practitioner - Emergency Medicine 8022399443 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Valley Ep PLLCGroup PAC ID 4880081785, 15 clinicians

Practice addresses (Care Compare)

5656 S Power Rd
Gilbert, AZ 85295-8491
Phone (602) 830-4911

Hospital & facility affiliations

  • East Valley ER & Hospital Hospital, Gilbert, AZ, CCN 030153

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
007091AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Physician Group, PLLC CurrentSince Dec 16, 2023 Accepting new patients
Honorhealth CurrentSince May 29, 2023 Accepting new patients
Loop 101 Emergency Physicians LLC Emergency Medicine CurrentSince Jan 1, 2017 Accepting new patients
Scottsdale Emergency Associates, LTD. Emergency Medicine Current Accepting new patients
Honorhealth Emergency Medicine Current Accepting new patients
Emcare - PNX Emergency Physicians LLC Emergency Medicine CurrentSince Jan 1, 2017 Accepting new patients
East Valley Ep, PLLC CurrentSince Feb 14, 2022 Accepting new patients
Emergency Group of Arizona Professional Corporation Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Scottsdale Emergency Associates, LTD. Emergency Medicine CurrentSince Aug 2, 2023 Accepting new patients
303 Emergency Physicians PLLC Emergency Medicine CurrentSince Jan 1, 2017 Accepting new patients
Honorhealth CurrentSince May 29, 2023 Accepting new patients

Locations

3050 S Dobson Rd
Chandler, AZ 85248
Phone (480) 284-5867

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

33423 N 32nd Ave
Phoenix, AZ 85085
Phone (623) 474-1600

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

5316 E Shea Blvd
Ste 150
Scottsdale, AZ 85254
Phone (480) 534-4530

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

16575 W Waddell Rd
Surprise, AZ 85388
Phone (623) 300-9110

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1760725188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E DUNLAP AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202825",
            "telephone_number": "480-492-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E DUNLAP AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202825",
            "telephone_number": "480-492-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "SANG KEUN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "007091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "YI",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.