Individual provider Active NPI

Yoon J Cho, D.O.

  • Family Medicine Physician
  • North Bethesda, MD
National Provider Identifier
1811094469
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0060318 Issued in MD
Practice address
6161 Executive Blvd
North Bethesda, MD 20852-3901
Phone
(301) 871-3400
Fax
(301) 871-3441
NPI assigned
Sep 17, 2006
Last updated
Mar 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0060318 MD Primary

Addresses

Primary practice location

6161 Executive Blvd
North Bethesda, MD 20852-3901

Mailing address

6161 Executive Blvd
North Bethesda, MD 20852-3901
Phone (301) 871-3400

Other identifiers 1

IdentifierTypeStateIssuer
945800000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20070517000231 DC Practitioner - Family Practice 2163498486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6161 Executive Blvd
North Bethesda, MD 20852-3901
Phone (301) 871-3400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0060318MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yoon J Cho DO LLC Family Medicine CurrentSince Apr 1, 2007 Accepting new patients
Carroll Primary Care, PA Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6161 Executive Blvd
Rockville, MD 20852
Phone (301) 770-4747

Organizations & group practices 3

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1811094469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 EXECUTIVE BLVD",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523901",
            "telephone_number": "301-871-3400",
            "fax_number": "301-871-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 EXECUTIVE BLVD",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523901",
            "telephone_number": "301-871-3400",
            "fax_number": "301-871-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "YOON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0060318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945800000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bethesda, MD

Sources for this page

Verify at the official NPI Registry.