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DR. YONG SOO SO M.D.
NPI 1073708046
General Practice in Eastpointe, MI

Active since September 12, 2007PECOS EnrolledAccepts Medicare Assignment
22001 KELLY RD, EASTPOINTE, MI 48021(586) 778-0209 Get Directions Write a Review

NPPES record last updated: September 23, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Yong Soo So M.d. NPPES

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

DR. YONG SOO SO M.D. (NPI 1073708046) is an individual general practice provider in Eastpointe, Michigan, licensed in Michigan (YS037124) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Other (1970).

NPPES Registry Identity

NPI1073708046
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. YONG SOO SOCredential: M.D.
Location Address22001 KELLY RDEastpointe, MI 48021-2708
Mailing Address22001 Kelly RdEastpointe, MI 48021-2708 · (586) 778-0209
Phone(586) 778-0209
Sole ProprietorYes
Medical School CMSOtherGraduated 1970
Enumeration DateSeptember 12, 2007
Last NPPES UpdateSeptember 23, 2007
✔ NPI 1073708046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · YS037124
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
22001 KELLY RD, Eastpointe, MI 48021
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Other Identifiers 4

Medicare PIN0N89590MI
Medicare PINN89590001MI
Medicare UPINB46014MI
Medicaid4641238MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Yong Soo So M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264334465
PECOS Enrollment IDI20040127000019
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Yong So reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yong Soo So, M.D., P.C.
Same address
General Practice
22001 KELLY RD
Eastpointe, MI 48021
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Yong Soo So MD PC
NPI 1356405294 (586) 778-0209

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
242 services49 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
111 services40 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
88 services15 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
79 services17 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
66 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services37 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims341 services$2.62 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims3,160 services$0.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

YONG SOO SO, M.D., P.C.
General Practice
22001 KELLY RD
EASTPOINTE, MI 48021
Macomb County (586) 778-0209
HIJOO KIM MD PLLC
Physical Medicine & Rehabilitation
22001 KELLY RD
EASTPOINTE, MI 48021
Macomb County (586) 777-1120

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 Yong So's NPI number?

The NPI number for Yong So is 1073708046. It was assigned to this individual provider in the NPPES registry on September 12, 2007.

Where is Yong So located?

Yong So practices at 22001 Kelly Rd, Eastpointe, MI 48021. The listed phone number is (586) 778-0209.

What is Yong So's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Yong So enrolled in Medicare?

Yes. Yong So is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Yong So's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yong So reassigns Medicare benefits to Yong Soo So, M.D., P.C. (Eastpointe, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yong So's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Yong So affiliated with any hospitals?

According to CMS data, Yong So is affiliated with Beaumont Hospital - Grosse Pointe.

When was this NPI record last updated?

The NPPES record for Yong So was last updated on September 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.