Individual provider Active NPI

John S Yatsu, MD

  • Surgery Physician
  • Austin, TX
National Provider Identifier
1922158799
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G9020 Issued in TX
Practice address
6417 Williams Ridge Way
Austin, TX 78731-2709
Phone
(512) 413-3065
Fax
(512) 502-1027
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G9020 TX Primary
Emergency Medicine Physician 207P00000X G9020 TX

Addresses

Primary practice location

6417 Williams Ridge Way
Austin, TX 78731-2709

Mailing address

PO Box 27242
Austin, TX 78755-2242
Phone (512) 413-3065

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
I20100202000591 TX Practitioner - Critical Care (Intensivists)Practitioner - General SurgeryPractitioner - Emergency Medicine 7214070028 Reassigns benefits to 13 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Hospital District CurrentSince Jun 23, 2010 Accepting new patients
Dewitt Medical District Emergency Medicine Current Accepting new patients
Ess of Nacogdoches LLC Emergency Medicine CurrentSince Apr 18, 2017 Accepting new patients
Memorial Medical Center CurrentSince Dec 19, 2012 Accepting new patients
Frio Hospital Association Emergency Medicine CurrentSince Jan 7, 2010 Accepting new patients
Dewitt Medical District CurrentSince Jul 19, 2012 Accepting new patients
Texas Emergency Group LLC Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Jackson County Hospital District Emergency Medicine CurrentSince Jun 23, 2010 Accepting new patients
HCC of Fairfield LLC CurrentSince Dec 24, 2018 Accepting new patients
Memorial Medical Center CurrentSince Dec 19, 2012 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Ess of Fairfield LLC Emergency Medicine CurrentSince Dec 24, 2018 Accepting new patients
Frio Hospital Association CurrentSince Jan 7, 2010 Accepting new patients
Port Arthur Emergency Physicians Emergency Medicine CurrentSince Feb 27, 2017 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Seminole Hospital District of Gaines County Texas Emergency Medicine CurrentSince May 27, 2010 Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince May 27, 2010 Accepting new patients
WH Services Austin LLC CurrentSince Dec 1, 2022 Accepting new patients
Dewitt Medical District CurrentSince Jul 19, 2012 Accepting new patients

Locations

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

1013 S Wells St
Edna, TX 77957
Phone (361) 782-5241

125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

113 W Main St
Kenedy, TX 78119
Phone (830) 583-0612

701 McClintic Dr
Lake Limestone, TX 76642
Phone (254) 729-3281

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

151 Medical Dr
Pearsall, TX 78061
Phone (830) 334-4126

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

5656 Bee Caves Rd
West Lake Hills, TX 78746
Phone (512) 314-3800

Interoperability endpoints

  • Direct secure messaging: fmcjyatsu@yourcarecommunity.org

Organizations & group practices 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1922158799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27242",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787552242",
            "telephone_number": "512-413-3065",
            "fax_number": "512-502-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 WILLIAMS RIDGE WAY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787312709",
            "telephone_number": "512-413-3065",
            "fax_number": "512-502-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATSU",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G9020",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "G9020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.