DR. RAPHAEL JAEWON YOO M.D.
NPI 1154559037
Radiology - Vascular & Interventional Radiology in San Diego, CA

Active since June 30, 2009PECOS EnrolledAccepts Medicare Assignment
3020 CHILDREN'S WAY, SAN DIEGO, CA 92132(858) 966-8863 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2024, Aug 5, 2019, Oct 5, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Raphael Jaewon Yoo M.d. NPPES

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

DR. RAPHAEL JAEWON YOO M.D. (NPI 1154559037) is an individual vascular & interventional radiology provider in San Diego, California, licensed in California (C194824) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Drexel University College Of Medicine (2009).

NPPES Registry Identity

NPI1154559037
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. RAPHAEL JAEWON YOOCredential: M.D.
Location Address3020 CHILDREN'S WAYSan Diego, CA 92132-5502
Mailing Address3020 Childrens Way # Mc5003San Diego, CA 92123-4223 · (858) 309-6300
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2009
Enumeration DateJune 30, 2009
Last NPPES UpdateMay 9, 20244 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
NPI 1154559037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Licenses Licensed in CA · C194824 Licensed in NJ · 25MA10636200
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
3020 CHILDREN'S WAY, San Diego, CA 92132

Secondary Practice Locations 3

Location 11280 Almonesson RdDeptford, NJ 08096-5502 · Phone (856) 345-1401 · Fax (856) 805-9370
Location 28001 Frost StSan Diego, CA 92123-2746 · Phone (858) 966-8863
Location 33030 Childrens WaySan Diego, CA 92123-4232 · Phone (858) 966-8863

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Raphael Jaewon Yoo 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 ID8426342957
PECOS Enrollment IDI20240903002880
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92132 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
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

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

Anesthesiology (Pediatric Anesthesiology)
3020 CHILDREN'S WAY
SAN DIEGO, CA 92132

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 Raphael Yoo's NPI number?

The NPI number for Raphael Yoo is 1154559037. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Raphael Yoo located?

Raphael Yoo practices at 3020 Children's Way, San Diego, CA 92132. The listed phone number is (858) 966-8863.

What is Raphael Yoo's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Raphael Yoo enrolled in Medicare?

Yes. Raphael Yoo 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.

When was this NPI record last updated?

The NPPES record for Raphael Yoo was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.