Individual provider Active NPI

Yen-Yi Juo, M.D.

  • Surgery Physician
  • Portland, OR
National Provider Identifier
1982049664
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD223896 Issued in OR
Practice address
1130 NW 22ND Ave Ste 500
Portland, OR 97210
Phone
(503) 413-5725
NPI assigned
May 8, 2013
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Surgery Physician 208600000X A142982 CA
Surgery Physician 208600000X MD223896 OR Primary

Addresses

Primary practice location

1130 NW 22ND Ave Ste 500
Portland, OR 97210

Mailing address

PO Box 3777
Portland, OR 97208-3777

Other practice location 1

10833 Le Conte Ave # 72
Los Angeles, CA 90095
Phone (310) 267-8054

Other practice location 2

10833 Le Conte Ave # 72
Los Angeles, CA 90095-3075
Phone (310) 267-8054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211220000945 MN Practitioner - General Surgery 9234419045 Reassigns benefits to 2 organizations
I20250805003456 OR Practitioner - General Surgery 9234419045 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians
Silverton HealthGroup PAC ID 8921901877, 147 clinicians

Practice addresses (Care Compare)

1040 NW 22ND Ave
Portland, OR 97210-3097

1130 NW 22ND Ave
Suite 500
Portland, OR 97210-2976
Phone (503) 413-5525

1200 NW 23Rd Ave
Portland, OR 97210-2906
Phone (503) 413-7074

454 Welch St
Silverton, OR 97381-1934
Phone (503) 873-1540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A142982CAMDSurgery Physician
MD223896ORMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
Silverton Health Surgery CurrentSince Jul 22, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Dec 10, 2025 Accepting new patients
Allina Health System Surgery CurrentSince Jan 7, 2023 Accepting new patients
Silverton Health Current Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Dec 10, 2025 Accepting new patients
Silverton Health CurrentSince Jul 22, 2025 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 22, 2025 Accepting new patients
Allina Health System CurrentSince Jan 3, 2022 Accepting new patients
Allina Health System CurrentSince Jan 3, 2022 Accepting new patients
Allina Health System Past Accepting new patients
Allina Health System Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2800 Chicago Ave
Ste 250
Minneapolis, MN 55407
Phone (612) 863-4096

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1130 NW 22nd Ave
Ste 500
Portland, OR 97210
Phone (503) 229-7339

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

454 Welch St
Silverton, OR 97381
Phone (503) 873-1722

Interoperability endpoints

  • Direct secure messaging: yjuo1592694@direct.lhs.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

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": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1982049664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3777",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 NW 22ND AVE STE 500",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210",
            "telephone_number": "503-413-5725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10833 Le Conte Ave # 72",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90095",
            "country_code": "US",
            "telephone_number": "310-267-8054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10833 Le Conte Ave # 72",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900953075",
            "country_code": "US",
            "telephone_number": "310-267-8054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUO",
        "first_name": "YEN-YI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-08",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A142982",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD223896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.