Active NPI
Ki-Hyuk Yoo, DPM
- Foot & Ankle Surgery Podiatrist
- Dorchester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- MA2398
- Practice address
- 2110 Dorchester Ave Ste 203
Dorchester, MA 02124 - Phone
- (617) 696-5355
- Fax
- (617) 696-5357
- NPI assigned
- Jul 9, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | MA2398 | MA | Primary |
Addresses
Primary practice location
2110 Dorchester Ave Ste 203
Dorchester, MA 02124
Mailing address
2110 Dorchester Ave Ste 203
Dorchester, MA 02124-5699
Phone (617) 696-5355
Other practice location 1
2110 Dorchester Ave Ste 203
Dorchester, MA 02124
Phone (617) 696-5355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110099331A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
50 Redfield St
Suite 301
Dorchester, MA 02122-3651
Phone (617) 696-5355
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 562 |
| Removal of skin lesions | 11 |
| Removal of nail tissue | 1181 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA2398 | MA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yoo Foot and Ankle Podiatry, LLC. | Foot & Ankle Surgery | Current | Accepting new patients |
| Harbor Health Services, Inc. | Current | Accepting new patients | |
| Harbor Health Services, Inc. | Current | Accepting new patients |
Locations
250 Mount Vernon St
Dorchester, MA 02125
Phone (617) 288-1140
50 Redfield St
Ste 301
Dorchester, MA 02122
Phone (617) 288-7450
2110 Dorchester Ave
Ste 203
Dorchestr Ctr, MA 02124
Phone (617) 296-4951
1135 Morton St
Mattapan, MA 02126
Phone (617) 533-2300
Interoperability endpoints
- https://api.platform.athenahealth.com/15451/brand/1/csg/1/fhir/r4
- ki-hyuk.yoo.1@15451.direct.athenahealth.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.
-
- Foot & Ankle Surgery Podiatrist
- Dorchester, MA
- NPI 1952848103
-
dba Daniel Driscoll - Neponset Health Center
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1881692366
-
dba Harbor Community Health Center, Plymouth
- Community Health Clinic/Center
- Plymouth, MA
- NPI 1568892859
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Boston Medical Center - Brighton
- General Acute Care Hospital
- Boston, MA
- NPI 1720814072
-
dba Boston Medical Center - South
- General Acute Care Hospital
- Brockton, MA
- NPI 1871329110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1881906626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 DORCHESTER AVE STE 203",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021245699",
"telephone_number": "617-696-5355",
"fax_number": "617-696-5357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 DORCHESTER AVE STE 203",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "02124",
"telephone_number": "617-696-5355",
"fax_number": "617-696-5357"
}
],
"practiceLocations": [
{
"address_1": "2110 Dorchester Ave Ste 203",
"address_purpose": "LOCATION",
"city": "Dorchester",
"state": "MA",
"postal_code": "02124",
"country_code": "US",
"telephone_number": "617-696-5355",
"fax_number": "617-696-5357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOO",
"first_name": "KI-HYUK",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-09",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MA",
"license": "MA2398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110099331A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.