NPIMap

Individual provider Active NPI

Tongle Yu, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Wichita Falls, TX
National Provider Identifier
1790198455
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
291889 Issued in NY
Practice address
1301 Third St
Suite 200
Wichita Falls, TX 76301
Phone
(940) 767-5145
NPI assigned
Jun 10, 2014
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 291889 NY Primary

Addresses

Primary practice location

1301 Third St
Suite 200
Wichita Falls, TX 76301

Mailing address

100 Patriots Rd
Stony Brook, NY 11790-3318
Phone (631) 444-8608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180516000063 NY Practitioner - Family PracticePractitioner - Geriatric Medicine 6103180344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

100 Patriots Rd
Stony Brook, NY 11790-3318
Phone (631) 444-8630

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office Single Specialty CurrentSince Jul 7, 2021 Accepting new patients
State of New York Comptrollers Office Single Specialty Current Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Single Specialty CurrentSince Jul 1, 2018 Accepting new patients
State of New York Comptrollers Office Single Specialty CurrentSince Jul 7, 2021 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Family Medicine CurrentSince Jul 1, 2018 Accepting new patients

Locations

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

59 Southern Blvd
Nesconset, NY 11767
Phone (631) 628-5000

100 Patriots Rd
Stony Brook, NY 11790
Phone (631) 444-8500

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.

Hospital & facility affiliations 8

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": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1790198455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PATRIOTS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903318",
            "telephone_number": "631-444-8608",
            "fax_number": "631-444-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 THIRD ST",
            "address_2": "SUITE 200",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76301",
            "telephone_number": "940-767-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "TONGLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "291889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.