Individual provider Active NPI

Yangyang Yu, M.D.

  • Pediatric Surgery Physician
  • Hollywood, FL
National Provider Identifier
1952748972
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
ME163740 Issued in FL
Practice address
1150 N 35TH Ave Ste 555
Hollywood, FL 33021-5431
Phone
(954) 265-0072
NPI assigned
May 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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 BP10046907 TX
Pediatric Surgery Physician 2086S0120X ME163740 FL Primary

Addresses

Primary practice location

1150 N 35TH Ave Ste 555
Hollywood, FL 33021-5431

Mailing address

1150 N 35TH Ave Ste 555
Hollywood, FL 33021-5431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231201002217 FL Practitioner - General SurgeryPractitioner - Pediatric Medicine 9638527542 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10046907TXMDSurgery Physician
ME163740FLMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Oct 23, 2023 Accepting new patients
South Broward Hospital District Pediatric Surgery CurrentSince Oct 23, 2023 Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

5830 Coral Ridge Dr
Ste 140
Coral Springs, FL 33076
Phone (954) 265-1616

1150 N 35th Ave
Ste 555
Hollywood, FL 33021
Phone (954) 981-0072

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

1971 SW 172nd Ave
Ste 2500
Miramar, FL 33029
Phone (954) 265-6333

1865 N Corporate Lakes Blvd
Ste 1
Weston, FL 33326
Phone (954) 265-9344

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.

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1952748972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE STE 555",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE STE 555",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215431",
            "telephone_number": "954-265-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "YANGYANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10046907",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "FL",
            "license": "ME163740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.