DR. YONG BAO (MD) – Pediatric Endocrinology Physician, NPI 1083641054

DR. YONG BAO (MD) is a healthcare provider. based in Miami, Florida. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. ME79538 (FL). The NPI Number for DR. YONG BAO (MD) is 1083641054

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. YONG BAO (MD)
NPI
1083641054
Phone
(305) 243-4029
Address
1601 NW 12TH AVE
Enumeration Date
27 June 2006
Last Update Date
29 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3055471496
Graduation Year
1987 (39 years ago)
PAC ID
9032170022
Group Practice PAC ID
3274795109
Professional Enrollment ID
I20041022000695
Address ID
FL331361005MI1611XAVEN501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,309 PEDIATRIC MEDICINE in FL

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Provider Addresses for DR. YONG BAO (MD)

  • 1601, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    BOX 016960 M851

    MIAMI, FL 331016960

    Phone: (305) 243-4029

    Fax: (305) 243-8470

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041022000695IPediatric MedicineFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 33101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274795109View full group profile

Reviews

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Frequently asked questions

What is DR. YONG BAO (MD)'s NPI number?
DR. YONG BAO (MD)'s NPI is 1083641054 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. YONG BAO (MD)?
For scheduling context, DR. YONG BAO (MD) is shown as active in the registry.
What expertise is attributed to DR. YONG BAO (MD)?
DR. YONG BAO (MD)'s specialty line reads Pediatric Endocrinology Physician. Clinical services aligned with this taxonomy classification.
Is DR. YONG BAO (MD) associated with Miami?
Public fields place DR. YONG BAO (MD) around Miami, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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