PROSPECT INTERNAL MEDICINE
NPI 1033597828
Internal Medicine in Prospect, KY

NPI Status: Active since May 12, 2015

Contact Information

9537 US HIGHWAY 42
PROSPECT, KY
ZIP 40059
Phone: (502) 713-1332
Fax: (502) 713-1218

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  • Organization
  • Internal Medicine
  • CLIA Number: 18D2098061
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-07-2027

About PROSPECT INTERNAL MEDICINE

This page provides the complete NPI Profile along with additional information for Prospect Internal Medicine, an internist established in Prospect, Kentucky operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1033597828 assigned on May 2015. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Prospect Internal Medicine. The authorized official of this NPI record is Dr. Tina Yuan Md (Owner)

NPI
1033597828
Provider Legal Name
ELITE INTERNAL MEDICINE
Other Organization Name
PROSPECT INTERNAL MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9537 US HIGHWAY 42 PROSPECT, KY 40059
Location Phone
(502) 713-1332
Location Fax
(502) 713-1218
Mailing Address
PO BOX 319 PROSPECT, KY 40059
Mailing Phone
(502) 713-1332
Mailing Fax
(502) 713-1218
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2015
Last Update Date
05-06-2022
Code Navigator

An internist like Prospect Internal Medicine is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 10501 Fischer Park Dr
    Louisville, KY 40241
    (502) 713-1218

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TINA YUAN MD

Authorized Official Title
OWNER
Authorized Official Phone
(502) 713-1332

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
50091760OTHER (01)KYPASSPORT HEALTH PLAN

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2098061
Facility Type
Physician Office
Certificate Effective Date
March 08, 2025
Certificate Expiration Date
March 07, 2027
Laboratory Director
DR. TINA T. YUAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Prospect Internal Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PROSPECT INTERNAL MEDICINE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033597828
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20631091484
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 0 + 9 + 1 + 4 + 8 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1033597828 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

SAMANTHA CLAYBERN NP

Nurse Practitioner

(Family)

9537 US HIGHWAY 42
PROSPECT, KY
ZIP 40059

(502) 713-1332

DR. TINA T YUAN M.D.

Internal Medicine

9537 US HIGHWAY 42
PROSPECT, KY
ZIP 40059

(502) 713-1332

ALLYSON RIGGS DNP, FNP-C

Nurse Practitioner

(Family)

9537 US HIGHWAY 42
PROSPECT, KY
ZIP 40059

(502) 713-1332

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033597828, enumerated as an "organization" on May 12, 2015.

The provider is located at 9537 US HIGHWAY 42 PROSPECT, KY 40059 and the phone number is (502) 713-1332.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.