Individual provider Active NPI

Jinho Yoo, DPM

  • Primary Podiatric Medicine Podiatrist
  • Philadelphia, PA
National Provider Identifier
1780065144
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
SC006584 Issued in PA
Practice address
2416 E Allegheny Ave
Philadelphia, PA 19134-4403
Phone
(215) 426-8637
NPI assigned
Jun 11, 2015
Last updated
Apr 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC006584 PA
Primary Podiatric Medicine Podiatrist 213EP1101X SC006584 PA Primary

Addresses

Primary practice location

2416 E Allegheny Ave
Philadelphia, PA 19134-4403

Mailing address

2416 E Allegheny Ave
Philadelphia, PA 19134-4403
Phone (215) 426-8637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200102001566 PA Practitioner - Podiatry 5698109437 Reassigns benefits to 2 organizations
I20201110002961 NJ Practitioner - Podiatry 5698109437 Practice locations: Collingswood, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of PhiladelphiaGroup PAC ID 6305758723, 86 clinicians

Practice addresses (Care Compare)

1930 S Broad St
Philadelphia, PA 19145-2328
Phone (215) 685-1810

2230 Cottman Ave
Philadelphia, PA 19149-1230
Phone (215) 685-0602

2416 E Allegheny Ave
Philadelphia, PA 19134-4403
Phone (215) 426-8637

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions1-10
Removal of nail tissue198
Removal or shaving of skin growth168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006584PAMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
City of Philadelphia CurrentSince Feb 6, 2023 Accepting new patients
Einstein Podiatry Associates LLC Podiatrist CurrentSince Sep 4, 2022 Accepting new patients
Port Richmond Podiatry LLC. Podiatrist CurrentSince Jan 3, 2022 Accepting new patients
City of Philadelphia CurrentSince Feb 6, 2023 Accepting new patients
Port Richmond Family Foot Care,PC Podiatrist PastSince Jan 3, 2022 Accepting new patients

Locations

1101 Market St
Fl 10
Philadelphia, PA 19107

1335 W Tabor Rd
Ste 206
Philadelphia, PA 19141
Phone (215) 927-2837

2416 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 426-8637

4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1780065144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344403",
            "telephone_number": "215-426-8637",
            "fax_number": "215-423-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344403",
            "telephone_number": "215-426-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "JINHO",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006584",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC006584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.