NPIMap

Individual provider Active NPI

Yong T Pak, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Irving, TX
National Provider Identifier
1861583437
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
M1996 Issued in TX
Practice address
2120 N Macarthur Blvd
Suite 100
Irving, TX 75061-2225
Phone
(972) 438-4636
Fax
(214) 260-0953
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X M1996 TX Primary

Addresses

Primary practice location

2120 N Macarthur Blvd
Suite 100
Irving, TX 75061-2225

Mailing address

2120 N Macarthur Blvd
Suite 100
Irving, TX 75061-2225
Phone (972) 438-4636

Other identifiers 1

IdentifierTypeStateIssuer
206543501MedicaidTX

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
I20070305000104 TX Practitioner - Physical Medicine and Rehabilitation 6103928577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Baylor College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Precision Orthopedics and Sports MedicineGroup PAC ID 4183672652, 13 clinicians

Practice addresses (Care Compare)

2120 N Macarthur Blvd
Suite 100
Irving, TX 75061-2260
Phone 97243846361117

Hospital & facility affiliations

  • Home Health Professionals Dallas Home health agency, Dallas, TX, CCN 457812
  • Adaptive Home Health Home health agency, Temple, TX, CCN 458194
  • Baylor Surgical Hospital at Las Colinas Hospital, Irving, TX, CCN 450874
  • Dallas Medical Center Hospital, Dallas, TX, CCN 450379
  • Baylor Scott & White Medical Center at Irving Hospital, Irving, TX, CCN 450079
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1996TXMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Orthopedics & Sports Medicine Pain Medicine CurrentSince Nov 1, 2006 Accepting new patients
Precision Orthopedics & Sports Medicine CurrentSince Nov 1, 2006 Accepting new patients
Macarthur Surgery Center, L.P. PastSince Feb 18, 2014 Accepting new patients

Locations

800 12th Ave
Ste 200
Ft Worth, TX 76104
Phone (214) 631-9881

2120 N MacArthur Blvd
Ste 100
Irving, TX 75061
Phone (972) 438-4636

245 W State Highway 114
Ste 300
Southlake, TX 76092
Phone (682) 477-4290

Interoperability endpoints

  • Direct secure messaging: yon.pak@iasm-tx.direct.office.nextgen.com

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1861583437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 N MACARTHUR BLVD",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612225",
            "telephone_number": "972-438-4636",
            "fax_number": "214-260-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N MACARTHUR BLVD",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612225",
            "telephone_number": "972-438-4636",
            "fax_number": "214-260-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "YONG",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "M1996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206543501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.