Individual provider Active NPI

Kim-Anh Donna Yu, PA

  • Physician Assistant
  • Highland Village, TX
National Provider Identifier
1841441789
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05990 Issued in TX
Practice address
3170 Justin Rd Ste 403
Highland Village, TX 75077-3214
Phone
(972) 528-4811
NPI assigned
Oct 9, 2008
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05990 TX Primary

Addresses

Primary practice location

3170 Justin Rd Ste 403
Highland Village, TX 75077-3214

Mailing address

1316 Bentgrass Dr
Frisco, TX 75036-3925
Phone (806) 681-4162

Other practice location 1

7300 Eldorado Pkwy Ste 255
McKinney, TX 75070-9194
Phone (972) 528-4811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081208000246 TX Practitioner - Physician Assistant 6507927662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Sinus and Allergy Specialists of TexasGroup PAC ID 7315169596, 41 clinicians

Practice addresses (Care Compare)

115 N Loop 1604 E
1204 Texan Allergy
San Antonio, TX 78232-1399
Phone (512) 550-1800

3170 Justin Rd
Suite 403
Highland Village, TX 75077-3214
Phone (972) 528-4811

5801 Virginia Pkwy
Suite 105
McKinney, TX 75071-5411
Phone (972) 528-4811

7125 New Sanger Ave
504 Texan Allergy
Waco, TX 76712-4054
Phone (512) 550-1800

9191 Kyser Way
Suite a
Frisco, TX 75033-1902
Phone (972) 528-4811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1841441789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 BENTGRASS DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750363925",
            "telephone_number": "806-681-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 JUSTIN RD STE 403",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750773214",
            "telephone_number": "972-528-4811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Eldorado Pkwy Ste 255",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750709194",
            "country_code": "US",
            "telephone_number": "972-528-4811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "KIM-ANH",
        "middle_name": "DONNA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Village, TX

Sources for this page

Verify at the official NPI Registry.