NPIMap

Individual provider Active NPI

Eric Young Yun, MD

  • Diagnostic Radiology Physician
  • Lanham, MD
National Provider Identifier
1790773612
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD11420 Issued in RI
Practice address
8116 Good Luck Rd
Ste 110
Lanham, MD 20706-3502
Phone
(240) 542-3034
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD11420 RI Primary

Addresses

Primary practice location

8116 Good Luck Rd
Ste 110
Lanham, MD 20706-3502

Mailing address

8116 Good Luck Rd
Ste 110
Lanham, MD 20706-3502
Phone (240) 542-3034

Other identifiers 6

IdentifierTypeStateIssuer
00A947280MedicaidCA
1988OtherNHPRI
3708002OtherAETNA
2082560MedicaidMA
GR0106039MedicaidCA
P00140795OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20101112000498 DC Practitioner - Diagnostic Radiology 0840262184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Hahnemann University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11420RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Imaging, Inc. Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Professional Services of Holy Cross CurrentSince Sep 11, 2023 Accepting new patients
Diagnostic Imaging Associates, LLC Diagnostic Radiology CurrentSince Jul 19, 2010 Accepting new patients
Professional Services of Holy Cross CurrentSince Sep 11, 2023 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology PastSince Mar 22, 2011 Accepting new patients
Norcal Imaging Diagnostic Radiology Past Accepting new patients
Radmol Pet Center, LLC Diagnostic Radiology Past Accepting new patients
Professional Services of Holy Cross Past Accepting new patients
Rhode Island Medical Imaging Inc Diagnostic Radiology PastSince Jun 26, 2022 Accepting new patients
Rhode Island Medical Imaging Inc Diagnostic Radiology Past Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology PastSince Jan 1, 2014 Accepting new patients

Locations

4175 N Hanson Ct
Bowie, MD 20716
Phone (301) 464-0798

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

8116 Good Luck Rd
#10
Lanham, MD 20706
Phone (240) 965-3631

8116 Good Luck Rd
Ste 110
Lanham, MD 20706
Phone (240) 542-3034

8116 Good Luck Rd
Ste 101
Lanham, MD 20706
Phone (301) 459-7990

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

1100 Mercantile Ln
Ste 150
Upper Marlboro, MD 20774
Phone (301) 249-0022

11006 Veirs Mill Rd
Wheaton, MD 20902
Phone (240) 489-6262

Interoperability endpoints

  • Direct secure messaging: eyun3083510@direct.trinity-health.org

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 4

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1790773612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 GOOD LUCK RD",
            "address_2": "STE 110",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063502",
            "telephone_number": "240-542-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 GOOD LUCK RD",
            "address_2": "STE 110",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063502",
            "telephone_number": "240-542-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "ERIC",
        "middle_name": "YOUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD11420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A947280",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHPRI",
            "identifier": "1988",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3708002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2082560",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0106039",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00140795",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.