Individual provider Active NPI

Jungsik Yoo, D.O.

  • Hospitalist Physician
  • Massena, NY
National Provider Identifier
1831487180
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
25MB09436000 Issued in NJ
Practice address
1 Hospital Dr
Massena, NY 13662
Phone
(315) 769-4200
NPI assigned
Jul 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101026942 MI
Internal Medicine Physician 207R00000X 25MB09436000 NJ
Hospitalist Physician 208M00000X 273384 NY
Hospitalist Physician 208M00000X 25MB09436000 NJ Primary

Addresses

Primary practice location

1 Hospital Dr
Massena, NY 13662

Mailing address

1 Hospital Dr
Massena, NY 13662
Phone (315) 769-4200

Other practice location 1

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-1644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, MI, CO4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20141107000614 NJ Practitioner - HospitalistPractitioner - Internal Medicine 3173745122 Reassigns benefits to 4 organizations
I20160531002318 NY Practitioner - Internal Medicine 3173745122 Reassigns benefits to 5 organizations
I20250507001462 MI Practitioner - Hospitalist 3173745122 Reassigns benefits to 6 organizations
I20251030000032 CO Practitioner - Internal Medicine 3173745122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Michigan Physician Services PCGroup PAC ID 0143730671, 66 clinicians
Grand Traverse Physician Services PCGroup PAC ID 2466963806, 119 clinicians
Wexford Physician Services PCGroup PAC ID 3072024330, 39 clinicians
Mymichigan Medical GroupGroup PAC ID 4981501939, 174 clinicians
Mymichigan Medical Center SaultGroup PAC ID 7315936481, 101 clinicians
Hospital Medicine Services of Colorado, LLCGroup PAC ID 9133631351, 73 clinicians
Otsego Physician Services PCGroup PAC ID 7416468954, 35 clinicians

Practice addresses (Care Compare)

1100 E Michgan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7200

4000 Wellness Dr
Midland, MI 48670-0001
Phone (989) 839-1644

500 Osborn Blvd
Sault S Marie, MI 49783-1822
Phone (906) 635-4439

501 E Hamden Ave
Englewood, CO 80113-2702
Phone (303) 788-5000

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB09436000NJMDHospitalist Physician
273384NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Sault CurrentSince Apr 1, 2025 Accepting new patients
Mymichigan Medical Group Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Mymichigan Medical Group Current Accepting new patients
Trident Healthcare PC Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Dec 27, 2022 Accepting new patients
Practice Associates Medical Group Internal Medicine CurrentSince Nov 3, 2014 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Mar 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Pennsylvania, P.C. Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Adirondack Medical Center Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Hospital Medicine Services of Colorado, LLC Hospitalist CurrentSince Jul 25, 2025 Accepting new patients
North Michigan Physician Services PC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Passaic Hospitalist Services, LLC Hospitalist CurrentSince Oct 1, 2023 Accepting new patients
Cogent Healthcare of New Jersey, PC Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Champlain Valley Physicians Hospital Medical Center Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Apr 1, 2025 Accepting new patients
Grand Traverse Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Apr 23, 2025 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Apr 1, 2025 Accepting new patients
New York Medical Physician Associates PC Internal Medicine Current Accepting new patients
Wexford Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Mymichigan Medical Center Sault Current Accepting new patients
Otsego Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Dec 27, 2022 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Mar 1, 2021 Accepting new patients
Munson Healthcare Cadillac Past Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients

Locations (25 of 28)

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

401 Hamburg Tpke
Ste 310
Wayne, NJ 07470
Phone (551) 305-4595

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080

1 Norton Ave
Oneonta, NY 13820
Phone (607) 431-5003

438 Main St
Oneonta, NY 13820
Phone (607) 432-2437

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

Interoperability endpoints

  • Direct secure messaging: jyoo418317@direct.bsmhealth.org

Organizations & group practices 27

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 27

Hospital & facility affiliations 7

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": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1831487180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "13662",
            "telephone_number": "315-769-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "13662",
            "telephone_number": "315-769-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Wellness Dr",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486702000",
            "country_code": "US",
            "telephone_number": "989-839-1644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOO",
        "first_name": "JUNGSIK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101026942",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB09436000",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "273384",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MB09436000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massena, NY

Sources for this page

Verify at the official NPI Registry.