NPIMap

Individual provider Active NPI

John Yoo, M.D.

  • Vascular & Interventional Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1821314667
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
N7511 Issued in TX
Practice address
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone
(817) 321-0404
Fax
(469) 522-6889
NPI assigned
Apr 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X N7511 TX
Vascular & Interventional Radiology Physician 2085R0204X N7511 TX Primary

Addresses

Primary practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3146
Phone (817) 321-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110802000502 TX Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 7315116696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Crawford Andrews and Davis PTRGroup PAC ID 6507814084, 47 clinicians

Practice addresses (Care Compare)

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0470

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N7511TXMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 26, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 14, 2022 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 13, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 26, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 26, 2019 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Health Imaging Partners, LLC CurrentSince Dec 20, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 26, 2019 Accepting new patients
Crawford Andrews & Davis PTR Diagnostic Radiology CurrentSince Apr 1, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 26, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 26, 2019 Accepting new patients
VHS San Antonio Partners, LLC Past Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients
Clinical Care in Radiology Past Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

6750 Horizon Rd
Rockwall, TX 75032
Phone (469) 402-2800

Interoperability endpoints

  • Direct secure messaging: jyoo355921@ahs.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1821314667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043146",
            "telephone_number": "817-321-0404",
            "fax_number": "713-963-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042224",
            "telephone_number": "817-321-0404",
            "fax_number": "469-522-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-19",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "N7511",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "N7511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.