NPIMap

Individual provider Active NPI

Diana Yusim, MD

  • Nephrology Physician
  • Latrobe, PA
National Provider Identifier
1982167599
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD484893 Issued in PA
Practice address
10 Liberty LN
Latrobe, PA 15650-2772
Phone
(724) 537-9208
Fax
(724) 537-0867
NPI assigned
Apr 10, 2019
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X MD484893 PA Primary

Addresses

Primary practice location

10 Liberty LN
Latrobe, PA 15650-2772

Mailing address

10 Liberty LN
Latrobe, PA 15650-2772
Phone (724) 537-0867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250904001765 PA Practitioner - Nephrology 1456687615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Albany Medical College of Union University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sung and Ward IncGroup PAC ID 8628016888, 8 clinicians

Practice addresses (Care Compare)

10 Liberty LN
Latrobe, PA 15650-2772
Phone (724) 537-9208

P O Box
737 10 Liberty Lane
Latrobe, PA 15650-2772

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD484893PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sung and Ward Inc Nephrology CurrentSince Aug 15, 2025 Accepting new patients

Locations

60 S Washington Ave
Uppr
Greensburg, PA 15601

10 Liberty Ln
Latrobe, PA 15650
Phone (412) 537-9208

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1982167599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LIBERTY LN",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156502772",
            "telephone_number": "724-537-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LIBERTY LN",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156502772",
            "telephone_number": "724-537-9208",
            "fax_number": "724-537-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSIM",
        "first_name": "DIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD484893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

Verify at the official NPI Registry.