Active NPI
Kim Yu MD PC
- Family Medicine Physician
- Dearborn Heights, MI
National Provider Identifier
1972541332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301070014
- Legal business name
- KIM YU MD PC
- Practice address
- 8555 N Silvery LN
Suite 402
Dearborn Heights, MI 48127-1379 - Phone
- (313) 561-0550
- Fax
- (313) 561-3646
- NPI assigned
- Jun 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kim Yu, MD
- Title
- Owner/Physician
- Phone
- (313) 651-0550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301070014 | MI | Primary |
Addresses
Primary practice location
8555 N Silvery LN
Suite 402
Dearborn Heights, MI 48127-1379
Mailing address
8555 N Silvery LN
Suite 402
Dearborn Heights, MI 48127-1379
Phone (313) 561-0550
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0808290401 | Other | MI | BCBC BCN |
| 129807 | Other | MI | CARE CHOICES |
| 4397890-10 | Medicaid | MI | |
| 080H232630 | Other | MI | BCBS BCN |
| 1972541332 | Medicaid | MI | |
| 7949343 | Other | MI | AETNA |
| C7622 | Other | MI | MCARE |
| H31767 | Other | MI | HAP |
| 153351 | Other | MI | GREAT LAKES |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248307200000",
"number": "1972541332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8555 N SILVERY LN",
"address_2": "SUITE 402",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481271379",
"telephone_number": "313-561-0550",
"fax_number": "313-561-3646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8555 N SILVERY LN",
"address_2": "SUITE 402",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481271379",
"telephone_number": "313-561-0550",
"fax_number": "313-561-3646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIM YU MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2009-07-23",
"status": "A",
"authorized_official_last_name": "YU",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "313-651-0550",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "4301070014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBC BCN",
"identifier": "0808290401",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "129807",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4397890-10",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS BCN",
"identifier": "080H232630",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972541332",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7949343",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "C7622",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "H31767",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES",
"identifier": "153351",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dearborn Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.