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JOO-YOUN YI D.D.S.
NPI 1982905519
Dentist - General Practice in Dowagiac, MI

Active since November 12, 2010PECOS Enrolled
58620 SINK RD, DOWAGIAC, MI 49047(269) 783-2495(269) 782-4925 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 4, 2022, Feb 7, 2022, Apr 15, 2020 (3 updates tracked since 2020).

About Joo-youn Yi D.d.s. NPPES

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

JOO-YOUN YI D.D.S. (NPI 1982905519) is an individual general practice provider in Dowagiac, Michigan, licensed in Michigan (2901601123) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982905519
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJOO-YOUN YICredential: D.D.S.
Location Address58620 SINK RDDowagiac, MI 49047-9329
Mailing AddressPo Box 180Dowagiac, MI 49047-0180 · (269) 783-2495 · Fax (269) 782-4925
Phone(269) 783-2495
Fax(269) 782-4925
Sole ProprietorNo
Enumeration DateNovember 12, 2010
Last NPPES UpdateOctober 4, 20223 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
✔ NPI 1982905519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MI · 2901601123✔ Licensed in CA · 59392
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.
58620 SINK RD, Dowagiac, MI 49047
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joo-youn Yi D.d.s. 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 Reassignment

Medicare enrollment records show Joo-youn Yi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pokagon Band Of Potawatomi Indians
5.1 mi
Federally Qualified Health Center (FQHC)
32652 KNO DRIVE
Dowagiac, MI 49047
  • Reassigned Medicare billing, Texas enrollment
  • 21 clinicians in this Medicare group
NPI 1497833271 (269) 782-4141

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 49047 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 5

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

IRIS ANNE GRONAU
Dietitian, Registered
58620 SINK RD
DOWAGIAC, MI 49047
Cass County (269) 782-4141
ALEXANDER ROWLAND
Counselor (Mental Health)
58620 SINK RD
DOWAGIAC, MI 49047
Cass County (269) 782-4885
KRISTINE MICHELE ZELMER RDH
Dental Hygienist
58620 SINK RD
DOWAGIAC, MI 49047
Cass County (269) 783-2495
DELPHINE COLAR DO
Family Medicine
58620 SINK RD
DOWAGIAC, MI 49047
Cass County (269) 782-4141
MRS. SHANTA LYNN CLARK P.A.-C
Physician Assistant
58620 SINK RD, POKAGON HEALTH SERVICES
DOWAGIAC, MI 49047
Cass County (269) 782-4141

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 Joo-youn Yi's NPI number?

The NPI number for Joo-youn Yi is 1982905519. It was assigned to this individual provider in the NPPES registry on November 12, 2010.

Where is Joo-youn Yi located?

Joo-youn Yi practices at 58620 Sink Rd, Dowagiac, MI 49047. The listed phone number is (269) 783-2495.

What is Joo-youn Yi's specialty?

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

Is Joo-youn Yi enrolled in Medicare?

Yes. Joo-youn Yi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joo-youn Yi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joo-youn Yi reassigns Medicare benefits to Pokagon Band Of Potawatomi Indians (Dowagiac, 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 Joo-youn Yi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joo-youn Yi accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Michigan list Joo-youn 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 Joo-youn Yi was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.