YINA MO (PA-C) – Medical Physician Assistant, NPI 1376095604
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for YINA MO (PA-C)
5454 Wisconsin Ave Ste 1665
Chevy Chase, MD 208156901
Phone: (301) 220-8346
Type: Location
9707 KEY WEST AVE STE 125
ROCKVILLE, MD 208503992
Phone: (240) 268-1224
Fax: (240) 268-1225
Type: Location
Butterfield Road, Downers Grove, DuPage County, Illinois, 60128, United States
DOWNERS GROVE, IL 605151069
Phone: (630) 725-2730
Fax: (844) 205-5691
Type: Mailing
5425 WISCONSIN AVE STE 702
CHEVY CHASE, MD 208153578
Phone: (301) 634-1411
Fax: (301) 634-1425
Type: Mailing
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: 2017-02-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170215002728 | I | Physician Assistant | DC | 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 20815)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Interventional Radiology | MD | |
| - | IL | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | VA | |
| - | IL | |
| Family Practice, Emergency Medicine | VA | |
| - | IL | |
| General Surgery | VA |
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