DR. RAPHAEL JAEWON YOO (M.D.) – Vascular & Interventional Radiology Physician, NPI 1154559037
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
847 INTERVENTIONAL RADIOLOGY in CA
Provider Addresses for DR. RAPHAEL JAEWON YOO (M.D.)
3020 CHILDRENS WAY # MC5003
SAN DIEGO, CA 921234223
Phone: (858) 309-6300
Type: Mailing
3020 CHILDREN'S WAY
SAN DIEGO, CA 921325502
Phone: (858) 966-8863
Type: Location
1280 Almonesson Rd
Deptford, NJ 080965502
Phone: (856) 345-1401
Fax: (856) 805-9370
Type: Location
8001 Frost St
San Diego, CA 921232746
Phone: (858) 966-8863
Type: Location
3030 Childrens Way
San Diego, CA 921234232
Phone: (858) 966-8863
Type: Location
191, Mill Street, Rockport, Knox County, Maine, 04856, United States
ROCKLAND, DE 197320191
Phone: (302) 651-4200
Fax: (302) 651-4945
Type: Mailing
1280, Almonesson Road, Deptford, Gloucester County, New Jersey, 08096, United States
DEPTFORD, NJ 080965502
Phone: (856) 345-1401
Fax: (856) 805-9370
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $45.
Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.
Last reported payment date: 2023-11-08 • Largest payer in this snapshot: Terumo Medical Corporation ($32).
Total Amount
$45
General + Research + Ownership
Payments
3
Total payment records
General Amount
$45
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Terumo Medical Corporation | $32 |
| AngioDynamics, Inc. | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-09-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190918000054 | I | Pediatric Medicine | NJ | TBD |
| I20191205003087 | I | Diagnostic Radiology | DE | TBD |
| I20240903002880 | I | Interventional Radiology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92123)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Vascular Surgery, Interventional Radiology | CA | |
| Diagnostic Radiology, Interventional Radiology | NV | |
| Interventional Radiology, Diagnostic Radiology | CA |
Reviews
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