Individual provider Active NPI

Yanet Martinez Mederos, MD

  • Family Medicine Physician
  • Utica, NY
National Provider Identifier
1013640085
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
346351 Issued in NY
Practice address
417 Trenton Ave
Utica, NY 13502-1613
Phone
(315) 797-5810
Fax
(315) 732-7030
NPI assigned
Jul 6, 2022
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 346351 NY Primary

Addresses

Primary practice location

417 Trenton Ave
Utica, NY 13502-1613

Mailing address

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 624-6100

Other practice location 1

4401 Middle Settlement Rd
New Hartford, NY 13413-5331
Phone (315) 733-1148

Other practice location 2

8411 Seneca Tpke
New Hartford, NY 13413-4912
Phone (315) 624-8500

Other practice location 3

3946 Oneida St
New Hartford, NY 13413-9702
Phone (315) 624-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: ymartinezmederos41046@mvhealthsystem.direct-ci.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1013640085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HOSPITAL DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135022517",
            "telephone_number": "315-624-6100",
            "fax_number": "315-624-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 TRENTON AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135021613",
            "telephone_number": "315-797-5810",
            "fax_number": "315-732-7030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Middle Settlement Rd",
            "address_purpose": "LOCATION",
            "city": "New Hartford",
            "state": "NY",
            "postal_code": "134135331",
            "country_code": "US",
            "telephone_number": "315-733-1148",
            "fax_number": "315-266-9129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8411 Seneca Tpke",
            "address_purpose": "LOCATION",
            "city": "New Hartford",
            "state": "NY",
            "postal_code": "134134912",
            "country_code": "US",
            "telephone_number": "315-624-8500",
            "fax_number": "315-624-8515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3946 Oneida St",
            "address_purpose": "LOCATION",
            "city": "New Hartford",
            "state": "NY",
            "postal_code": "134139702",
            "country_code": "US",
            "telephone_number": "315-624-8300",
            "fax_number": "315-624-8310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ MEDEROS",
        "first_name": "YANET",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "346351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.