Individual provider Active NPI

Li-Yu Huang Mitchell, MD

  • Family Medicine Physician
  • Tyler, TX
National Provider Identifier
1962432559
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L0826 Issued in TX
Practice address
833 S Beckham Ave
Tyler, TX 75701
Phone
(903) 526-4325
Fax
(903) 526-2871
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L0826 TX Primary

Addresses

Primary practice location

833 S Beckham Ave
Tyler, TX 75701

Mailing address

PO Box 7204
Tyler, TX 75711-7204
Phone (903) 526-4325

Other practice location 1

6210 S Broadway Ave
Tyler, TX 75703-4413
Phone (903) 579-2700

Other identifiers 2

IdentifierTypeStateIssuer
141272802MedicaidTX
080185682OtherMEDICARE RR

Other names 1

  • Li-Yu Huang Former name

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
I20090115000149 TX Practitioner - Family Practice 7012070147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas a & M University System, HSC, College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

833 S Beckham Ave
Tyler, TX 75701-1905
Phone (903) 526-4325

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue668

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Li-Yu Huang Mitchell MD PA Family Medicine CurrentSince Jan 1, 2009 Accepting new patients

Locations

833 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-4325

Interoperability endpoints

  • Direct secure messaging: lmitchell355522@ahs.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1962432559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7204",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757117204",
            "telephone_number": "903-526-4325",
            "fax_number": "903-526-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-526-4325",
            "fax_number": "903-526-2871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6210 S Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757034413",
            "country_code": "US",
            "telephone_number": "903-579-2700",
            "fax_number": "903-534-9463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "LI-YU",
        "middle_name": "HUANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L0826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141272802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "080185682",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LI-YU",
            "last_name": "HUANG",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.