Individual provider Active NPI

Sean Juno Yu, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1962920488
Registry record updated Sep 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
500 Maxey Rd Ste a
Houston, TX 77013-5036
Phone
(713) 461-2915
Fax
(713) 461-5307
NPI assigned
Sep 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

500 Maxey Rd Ste a
Houston, TX 77013-5036

Mailing address

500 Maxey Rd Ste a
Houston, TX 77013-5036

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210722000031 TX Practitioner - Physician Assistant 4587922414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

102 N Friendswood Dr
Friendswood, TX 77546-3747
Phone (346) 646-3726

11529 S Hwy 6
Sugar Land, TX 77498-4932
Phone (832) 376-3921

12314 Jones Rd
Houston, TX 77070-4802
Phone (346) 646-3529

4005 Barker Cypress Rd
Houston, TX 77084-6802
Phone (346) 235-1975

4615 Fairmont Pkwy
Suite 100
Pasadena, TX 77504-3311
Phone (346) 398-7250

4650 Westway Park Blvd
Houston, TX 77041-2006
Phone (713) 461-2915

9055 Katy Fwy
Suite 100
Houston, TX 77024-1617
Phone (346) 646-4954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
023264NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P CurrentSince Jul 1, 2021 Accepting new patients

Locations

500 Maxey Rd
Ste A
Houston, TX 77013

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

8810 Antoine Dr
Houston, TX 77088
Phone (346) 398-7181

Interoperability endpoints

  • Direct secure messaging: sean.yu.1@13711.direct.athenahealth.com

Organizations & group practices 2

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": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662249600000",
    "number": "1962920488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MAXEY RD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770135036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAXEY RD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770135036",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "SEAN",
        "middle_name": "JUNO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-09-04",
        "certification_date": "2022-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.