Active NPI
Douglas B Yim, M.D.
- Vascular & Interventional Radiology Physician
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- D79737
- Practice address
- 501 W 7TH St
Frederick, MD 21701-4586 - Phone
- (240) 566-3421
- Fax
- (240) 566-3255
- NPI assigned
- Jan 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | ME150544 | FL | |
| Vascular & Interventional Radiology Physician | 2085R0204X | D79737 | MD | Primary |
Addresses
Primary practice location
501 W 7TH St
Frederick, MD 21701-4586
Mailing address
PO Box 37086
Baltimore, MD 21297-3086
Phone (240) 439-8812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, MD, SD, FL, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- University of Southern California Keck School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Phone (904) 399-5550
13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-5700
2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4903
Butte, MT 59701-2328
Phone (406) 723-2595
Hospital & facility affiliations
- HCA Florida Fort Walton-Destin Hospital
- University of Maryland Medical Center
- St James Hospital
- Adventhealth Port Charlotte
- University of MD Medical Center Midtown Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCL Health Medical Group-Butte LLC | Current | Accepting new patients | |
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Florida Hospital Physician Group Inc | Current | Accepting new patients | |
| University of Maryland Diagnostic Radiology, LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Sheridan Radiology Services of Central Florida Inc | Current | Accepting new patients | |
| University Imaging Center, LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Pediatric Physician Services, Inc. | Current | Accepting new patients | |
| SCL Health Medical Group-Butte LLC | Current | Accepting new patients | |
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| University Imaging Center, LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Diversified Radiology of Colorado, Inc | Current | Accepting new patients | |
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Mori Bean and Brooks Inc | Vascular & Interventional Radiology | Current | Accepting new patients |
| University of Maryland Diagnostic Radiology, LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| University of Maryland Diagnostic Imaging Specialists P a | Vascular & Interventional Radiology | Current | Accepting new patients |
| Freeman Regional Health Services | Current | Accepting new patients | |
| CMSC, LLC | Current | Accepting new patients | |
| University of Maryland Diagnostic Imaging Specialists P a | Vascular & Interventional Radiology | Current | Accepting new patients |
| Freeman Regional Health Services | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Columbus Radiology Corp | Vascular & Interventional Radiology | Past | Accepting new patients |
| University of Maryland Diagnostic Imaging Specialists P a | Vascular & Interventional Radiology | Past | Accepting new patients |
| Sheridan Radiology Services of Central Florida, Inc. | Past | Accepting new patients | |
| Medical Faculty Associates, Inc | Past | Accepting new patients |
Locations
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481
1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060
601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429
501 6th St S
St Petersburg, FL 33701
Phone (727) 767-3318
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
2115 Little Rd
Trinity, FL 34655
Phone 7278418225410
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
22 S Greene St
Rm N2E23
Baltimore, MD 21201
Phone (410) 328-5656
22 S Greene St
Rm S2A19
Baltimore, MD 21201
Phone (410) 328-1565
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196
501 W 7th St
Frederick, MD 21701
Phone (301) 360-2574
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000
5 N La Plata Ct
Ste 104
La Plata, MD 20646
Phone (301) 539-0345
400 S Clark St
Butte, MT 59701
Phone (406) 495-7260
1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500
3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095
804 S Walnut St
Freeman, SD 57029
Phone (605) 925-4000
Organizations & group practices 24
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.
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1154335487
DC, Vascular & Interventional Radiology
-
- Diagnostic Radiology Physician
- Lakewood, CO
- NPI 1205923596
MT
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
Vascular & Interventional Radiology
-
- Family Medicine Physician
- Frederick, MD
- NPI 1619258225
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1245245307
Vascular & Interventional Radiology
-
- Diagnostic Radiology Physician
- La Plata, MD
- NPI 1467996959
Vascular & Interventional Radiology
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1639109978
-
- Rural Health Clinic/Center
- Marion, SD
- NPI 1740570076
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
-
- Family Medicine Physician
- Butte, MT
- NPI 1477869600
-
- Family Medicine Physician
- Mount Airy, MD
- NPI 1114771862
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1669565180
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1760299093
-
- General Acute Care Hospital
- Ft Walton Beach, FL
- NPI 1639128820
-
- General Acute Care Hospital
- Butte, MT
- NPI 1528037215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1922079979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37086",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973086",
"telephone_number": "240-439-8812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W 7TH ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014586",
"telephone_number": "240-566-3421",
"fax_number": "240-566-3255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YIM",
"first_name": "DOUGLAS",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-29",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "ME150544",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MD",
"license": "D79737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.