Jeffrey Y Yung, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

JY001877 Issued in MI

Practice address

35 Bill Fries Dr BLDG L
Hilton Head Island, SC 29926-2797

Phone

(843) 895-2140

Fax

(843) 598-2141

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Island Foot and Ankle SurgeryGroup PAC ID 0042615494, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Walterboro, SC, CCN 427856
• Novant Health Hilton Head Medical Center Hospital, Hilton Head Island, SC, CCN 420080
• Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffery.yung@direct.secureehrthomas.com
• Direct secure messaging: jeffrey.yung.1@21022.direct.athenahealth.com
• Direct secure messaging: jyung96596@direct.beaumont.edu

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.

• Island Foot and Ankle Surgery

  • Foot & Ankle Surgery Podiatrist
  • Hilton Head, SC
  • NPI 1952981656
  Medicare reassignment Care Compare group NPD Authorized official

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

• Beaufort County Memorial Hospital

  • General Acute Care Hospital
  • Beaufort, SC
  • NPI 1366436073
  Care Compare affiliation
• Capital Care Resources of South Carolina, LLC

  • Home Health Agency
  • Walterboro, SC
  • NPI 1407221401
  Care Compare affiliation
• Hilton Head Medical Center LLC

  • General Acute Care Hospital
  • Hilton Head Island, SC
  • NPI 1902675101
  Care Compare affiliation

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1821037037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BILL FRIES DR BLDG L",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262797",
            "telephone_number": "843-895-2140",
            "fax_number": "843-895-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BILL FRIES DR BLDG L",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262797",
            "telephone_number": "843-895-2140",
            "fax_number": "843-598-2141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28100 Grand River Ave Ste 301S",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365970",
            "country_code": "US",
            "telephone_number": "947-521-1320",
            "fax_number": "248-473-3984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21111 Middlebelt Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365549",
            "country_code": "US",
            "telephone_number": "248-478-1150",
            "fax_number": "248-478-1156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUNG",
        "first_name": "JEFFREY",
        "middle_name": "Y",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2021-09-30",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001877",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "725",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "JY001877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD7255",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jyung96596@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "28100 Grand River Ave Ste 301S",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483365970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Podiatrist in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.