Jinil Yoo, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

116868 Issued in NY

Practice address

4141 Carpenter Ave
Renal Unit
Bronx, NY 10466-2600

Phone

(718) 920-9020

Fax

(718) 920-9043

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ydr Geriatrics and Nephrology, LLPGroup PAC ID 9234020983, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita West Farms Dialysis Dialysis facility, Bronx, NY, CCN 332804
• MONTEFIORE HOSP. & MED. CTR. Pediatric Dialysis facility, Bronx, NY, CCN 332313
• Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: jy@ydrgn.directmedgenehr.com

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.

• Ydr Geriatrics & Nephrology LLP

  • Nephrology Physician
  • Bronx, NY
  • NPI 1417020058
  Medicare reassignment Care Compare group Authorized official
• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152

  Nephrology

  Medicare reassignment NPD
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD
• Bronx River Nephro-Care Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bronx, NY
  • NPI 1538103494
  NPD (past)
• Our Lady of Mercy Ambulatory Care Center, Inc.

  • Podiatric Clinic/Center
  • Bronx, NY
  • NPI 1477704948
  NPD (past)
• Our Lady of Mercy Medical Center

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Bronx, NY
  • NPI 1669412847
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Knickerbocker Dialysis Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bronx, NY
  • NPI 1730676743

  Dialysis facility

  Care Compare affiliation Name & address match
• Montefiore Med Ctr-Ms Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bronx, NY
  • NPI 1154588358

  Dialysis facility

  Care Compare affiliation Name & address match
• Montefiore Medical Center

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1952476988
  Care Compare affiliation

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1932283173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105839239",
            "telephone_number": "914-636-8591",
            "fax_number": "914-633-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 CARPENTER AVE",
            "address_2": "RENAL UNIT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662600",
            "telephone_number": "718-920-9020",
            "fax_number": "718-920-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "JINIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "116868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2595083",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3105637",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00216308",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "116868",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "6X6031",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4253823",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "GP232",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manny M Yonko, LMSW
• Donna Yoo
• Esther Yoo, MD
• Jessica Yoo, OTR/L
• Jina Yoo, OD
• Shine Yoo
• Suna Yoo
• Sunmi Yoo, NURSE PRACTITIONER
• Tae S. Yoo, M.D.
• Yene Yoo

• Nephrology Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.

Verify at the official NPI Registry.