Individual provider Active NPI

Beth Jeeyoung Yu, MD

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1881666048
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L6730 Issued in TX
Practice address
4525 Ohio Dr
Frisco, TX 75035-5710
Phone
(972) 731-7717
Fax
(972) 731-7753
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L6730 TX Primary

Addresses

Primary practice location

4525 Ohio Dr
Frisco, TX 75035-5710

Mailing address

4525 Ohio Dr
Frisco, TX 75035-5710
Phone (972) 731-7717

Other names 1

  • Dr. CHI Yong Yu Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031208000167 TX Practitioner - Internal Medicine 1759286248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Frisco Primary Care, PAGroup PAC ID 7517030448, 5 clinicians

Practice addresses (Care Compare)

4525 Ohio Dr
Suite 100
Frisco, TX 75035-5990
Phone (972) 731-7717

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L6730TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frisco Primary Care, P.a. Internal Medicine CurrentSince Jun 1, 2012 Accepting new patients

Locations

4525 Ohio Dr
Ste 100
Frisco, TX 75035
Phone (972) 731-7717

4525 Ohio Dr
Frisco, TX 75035
Phone (972) 731-7717

Interoperability endpoints

  • Direct secure messaging: beth.yu@friscoprimarycare.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1881666048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 OHIO DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355710",
            "telephone_number": "972-731-7717",
            "fax_number": "972-731-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 OHIO DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355710",
            "telephone_number": "972-731-7717",
            "fax_number": "972-731-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "BETH",
        "middle_name": "JEEYOUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L6730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHI",
            "last_name": "YU",
            "middle_name": "YONG",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.