Individual provider Active NPI

Douglas B Yim, M.D.

  • Vascular & Interventional Radiology Physician
  • Frederick, MD
National Provider Identifier
1922079979
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
D79737 Issued in MD
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

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20070710000385 MT Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 9335249176 Reassigns benefits to 3 organizations
I20150916000410 MD Practitioner - Diagnostic Radiology 9335249176 Reassigns benefits to 4 organizations
I20171010002103 SD Practitioner - Diagnostic Radiology 9335249176 Reassigns benefits to 1 organization
I20211203001550 FL Practitioner - Interventional Radiology 9335249176 Reassigns benefits to 3 organizations
I20230828003394 DC Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9335249176 Reassigns benefits to 1 organization

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
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
University of Maryland Diagnostic Imaging Specialists P aGroup PAC ID 7719873298, 81 clinicians
Diversified Radiology of Colorado IncGroup PAC ID 0143132316, 92 clinicians

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 Hospital, Fort Walton Beach, FL, CCN 100223
  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002
  • St James Hospital Hospital, Butte, MT, CCN 270017
  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077
  • University of MD Medical Center Midtown Campus Hospital, Baltimore, MD, CCN 210038

Procedures performed for Medicare patients

ProcedureNumber 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

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group-Butte LLC CurrentSince Dec 10, 2022 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Apr 4, 2022 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Mar 30, 2026 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Vascular & Interventional Radiology CurrentSince Aug 28, 2023 Accepting new patients
Sheridan Radiology Services of Central Florida Inc Current Accepting new patients
University Imaging Center, LLC Vascular & Interventional Radiology CurrentSince Aug 28, 2023 Accepting new patients
Pediatric Physician Services, Inc. CurrentSince Sep 16, 2021 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Dec 10, 2022 Accepting new patients
Frederick Health Medical Group LLC Current Accepting new patients
University Imaging Center, LLC Vascular & Interventional Radiology CurrentSince Aug 28, 2023 Accepting new patients
Diversified Radiology of Colorado, Inc CurrentSince Jul 29, 2024 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Apr 4, 2022 Accepting new patients
Mori Bean and Brooks Inc Vascular & Interventional Radiology CurrentSince Oct 1, 2025 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Vascular & Interventional Radiology CurrentSince Aug 28, 2023 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Vascular & Interventional Radiology CurrentSince Aug 28, 2023 Accepting new patients
Freeman Regional Health Services CurrentSince Jul 11, 2018 Accepting new patients
CMSC, LLC CurrentSince Feb 9, 2023 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Vascular & Interventional Radiology CurrentSince Aug 28, 2023 Accepting new patients
Freeman Regional Health Services CurrentSince Jul 11, 2018 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 PastSince Jan 26, 2025 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.

View all 24

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.