SUN YOO MD
NPI 1083235675
Family Medicine in Utica, NY

Active since May 05, 2020PECOS Enrolled
120 HOBART ST, UTICA, NY 13501(315) 798-1149(315) 734-3565 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 29, 2023, May 5, 2020 (2 updates tracked since 2020).

About Sun Yoo Md NPPES

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

SUN YOO MD (NPI 1083235675) is an individual family medicine provider in Utica, New York, licensed in Washington (MD61376660) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083235675
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSUN YOOCredential: MD
Location Address120 HOBART STUtica, NY 13501-4308
Mailing Address7201 N Interstate AvePortland, OR 97217-5523 · (800) 813-2000 · Fax (855) 524-5255
Fax(315) 734-3565
Sole ProprietorNo
Enumeration DateMay 5, 2020
Last NPPES UpdateAugust 29, 20232 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1083235675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WA · MD61376660✔ Licensed in OR · MD214070
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
120 HOBART ST, Utica, NY 13501

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sun Yoo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show Sun Yoo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vascular Surgery
211 ESSEX ST STE 403
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 22 clinicians in this Medicare group
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2200 NE NEFF RD STE 204
Bend, OR 97701
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • 11 clinicians in this Medicare group
Skilled Nursing Facility
405 NE 5TH ST
Gresham, OR 97030
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • Also billed through NPI 1609171081 (Washington)
  • 3,207 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Hospitalist
120 HOBART ST
UTICA, NY 13501
Family Medicine
120 HOBART ST
UTICA, NY 13501
Family Medicine
120 HOBART ST
UTICA, NY 13501
Podiatrist
120 HOBART ST
UTICA, NY 13501
Nurse Practitioner (Family)
120 HOBART ST
UTICA, NY 13501
Emergency Medicine
120 HOBART ST
UTICA, NY 13501
Nurse Practitioner (Family)
120 HOBART ST
UTICA, NY 13501
Family Medicine
120 HOBART ST
UTICA, NY 13501

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 Sun Yoo's NPI number?

The NPI number for Sun Yoo is 1083235675. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Where is Sun Yoo located?

Sun Yoo practices at 120 Hobart St, Utica, NY 13501. The listed phone number is (315) 798-1149.

What is Sun Yoo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sun Yoo enrolled in Medicare?

Yes. Sun Yoo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sun Yoo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sun Yoo reassigns Medicare benefits to 3 organizations: Center For Vein Restoration Nj LLC (Hackensack, NJ), Center For Vein Restoration Or LLC (Bend, OR) and Sapphire At Gresham Rehab, LLC (Gresham, OR). Each 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 Sun Yoo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sun Yoo was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.