Active NPI
Jovian Yu, MD, MS
- Hospitalist Physician
- Waukegan, IL
National Provider Identifier
1821444837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036148546
- Practice address
- 1 N Waukegan Road
Ap31
Waukegan, IL 60085-6198 - Phone
- (847) 504-7780
- NPI assigned
- May 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036148546 | IL | Primary |
| Internal Medicine Physician | 207R00000X | 036.148546 | IL |
Addresses
Primary practice location
1 N Waukegan Road
Ap31
Waukegan, IL 60085-6198
Mailing address
1 N Waukegan Road
Ap30
Waukegan, IL 60085-6198
Other practice location 1
1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone (847) 234-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.148546 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1821444837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 N WAUKEGAN ROAD",
"address_2": "AP30",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600856198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 N WAUKEGAN ROAD",
"address_2": "AP31",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600856198",
"telephone_number": "847-504-7780"
}
],
"practiceLocations": [
{
"address_1": "1000 N Westmoreland Rd",
"address_purpose": "LOCATION",
"city": "Lake Forest",
"state": "IL",
"postal_code": "600451658",
"country_code": "US",
"telephone_number": "847-234-5600",
"fax_number": "847-535-7203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YU",
"first_name": "JOVIAN",
"credential": "MD, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-09",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036148546",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.148546",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.