DR. SUL KI YI D.D.S.
NPI 1063859841
Dentist - General Practice in Edinburg, TX

Active since June 03, 2013Opted out of Medicare · through Sep 11, 2027
206 W MAHL ST, EDINBURG, TX 78539(956) 383-4400(956) 383-6005 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2025, May 7, 2023, Mar 14, 2023 (3 updates tracked since 2023).

About Dr. Sul Ki Yi D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUL KI YI D.D.S. (NPI 1063859841) is an individual general practice provider in Edinburg, Texas, licensed in Texas (29018) and active in the NPI registry since June 2013. He has opted out of Medicare through September 11, 2027 and maintains a secondary practice location in Donna.

NPPES Registry Identity

NPI1063859841
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SUL KI YICredential: D.D.S.
Location Address206 W MAHL STEdinburg, TX 78539-4331
Mailing Address1600 W Jonquil AveMcallen, TX 78501-3829 · (210) 723-4470
Fax(956) 383-6005
Sole ProprietorNo
Enumeration DateJune 3, 2013
Last NPPES UpdateMay 15, 20253 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
NPI 1063859841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 29018
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 29018 (TX)
206 W MAHL ST, Edinburg, TX 78539

Secondary Practice Location 1

Location 1201 N. Main Street Ste. BDonna, TX 78537-4331 · Phone (956) 464-4448 · Fax (956) 464-9742

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Sul Ki Yi D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 11, 2023 through September 11, 2027.

Opt-Out Effective DateSeptember 11, 2023
Opt-Out In Effect ThroughSeptember 11, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
206 W MAHL ST
EDINBURG, TX 78539
Dentist (General Practice)
206 W MAHL ST
EDINBURG, TX 78539
Dentist
206 W MAHL ST
EDINBURG, TX 78539
Dentist (General Practice)
206 W MAHL ST
EDINBURG, TX 78539

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sul Ki Yi's NPI number?

The NPI number for Sul Ki Yi is 1063859841. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Where is Sul Ki Yi located?

Sul Ki Yi practices at 206 W Mahl St, Edinburg, TX 78539. The listed phone number is (956) 383-4400.

What is Sul Ki Yi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Sul Ki Yi enrolled in Medicare?

No. Sul Ki Yi has opted out of Medicare through September 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Sul Ki Yi accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Sul Ki Yi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sul Ki Yi was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.