Physician Compare National (NPI:1881906626)

HEALTHCARE PROVIDER: KI-HYUK YOO DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1881906626
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4183855232
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140402002184
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YOO
	Individual professional last name
Provider First Name	KIHYUK
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	50 REDFIELD ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 208
	Group Practice or individual's line 2 address
City	DORCHESTER
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	021223630
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	220036
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST ELIZABETH'S MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	220017
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CARNEY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	220111
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GOOD SAMARITAN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y