1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Internal Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JISANG YU MD
NPI 1902591449
Internal Medicine in Las Vegas, NV

Active since April 10, 2023PECOS Enrolled
2704 N TENAYA WAY, LAS VEGAS, NV 89128(702) 877-5199 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jisang Yu Md NPPES

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

JISANG YU MD (NPI 1902591449) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (29598) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in North Las Vegas.

NPPES Registry Identity

NPI1902591449
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJISANG YUCredential: MD
Location Address2704 N TENAYA WAYLas Vegas, NV 89128-0424
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 877-5199
Phone(702) 877-5199
Sole ProprietorNo
Enumeration DateApril 10, 2023
Last NPPES UpdateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1902591449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NV · 29598
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2704 N TENAYA WAY, Las Vegas, NV 89128
Open in Google Maps ↗

Secondary Practice Location 1

Location 11550 W Craig Rd Ste 220North Las Vegas, NV 89032-0329 · Phone (702) 616-5801

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jisang Yu 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89128 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

PATRICIA MAY B. LACSINA M.D.
Family Medicine
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 877-5199
MONTE WILSON
Physician Assistant
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 243-8500
DANIELLE RAE DELUCIA APRN-CNP
Nurse Practitioner
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 877-5199
BLAIR KAICHEN DUDDY MD
Pediatrics
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 243-8500
DR. MOAYAD ISMAIL M.D.
Internal Medicine
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 877-5199
DANIELLE J RUSSELL NP
Nurse Practitioner (Family)
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 877-5199
TRICIA L SELLERS MD
Pediatrics
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 877-8600
AUSTIN TROY LEAVITT
Family Medicine
2704 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 877-5199

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 Jisang Yu's NPI number?

The NPI number for Jisang Yu is 1902591449. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Jisang Yu located?

Jisang Yu practices at 2704 N Tenaya Way, Las Vegas, NV 89128. The listed phone number is (702) 877-5199.

What is Jisang Yu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jisang Yu enrolled in Medicare?

Yes. Jisang Yu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jisang Yu was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.