NPIMap

Individual provider Active NPI

Jaime T Yambao, MD

  • Family Medicine Physician
  • Flint, MI
National Provider Identifier
1033167226
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301076901 Issued in MI
Practice address
4444 W Bristol Rd
Suite 150
Flint, MI 48507-3153
Phone
(810) 230-9500
Fax
(810) 230-0169
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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 4301076901 MI Primary

Addresses

Primary practice location

4444 W Bristol Rd
Suite 150
Flint, MI 48507-3153

Mailing address

PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6600

Other identifiers 13

IdentifierTypeStateIssuer
010B560260OtherMIBCBSM
010B560260OtherMIBLUE CHOICE
080B513530OtherMIBLUE CARE NETWORK GROUP
010B560260OtherMIBLUE CARE NETWORK
0802511362OtherMIBLUE CROSS BLUE SHIELD IN
4743541MedicaidMI
010B560260OtherMICOMMUNITY BLUE
1015329OtherMIMCLAREN HEALTH PLAN
080B513530OtherMIBLUE CROSS BLUE SHIELD GR
4891796MedicaidMI
H94308OtherMIHEALTH ALLIANCE PLAN
1015329OtherMIHEALTH ADVANTAGE NETWORK
0999611OtherMIHEALTHPLUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040207000088 MI Practitioner - Family Practice 2567355969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

Troy, MI 48084
Phone (248) 824-6060

Okemos, MI 48864
Phone (517) 347-4085

4444 W Bristol Rd
Suite 330
Flint, MI 48507-3159
Phone (810) 230-9500

Hospital & facility affiliations

  • Residential Home Health and Hospice Home health agency, Lapeer, MI, CCN 237495
  • Alpine Care Home Health Home health agency, Troy, MI, CCN 237510
  • Compassus Home Health Home health agency, Grand Blanc, MI, CCN 237073
  • Elara Caring Home health agency, Bingham Farms, MI, CCN 239000
  • McLaren Home Health Home health agency, Davison, MI, CCN 237010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301076901MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Family Medicine CurrentSince Dec 12, 2011 Accepting new patients
Vpa PC Family Medicine Current Accepting new patients
Iah of Michigan, PLLC Family Medicine CurrentSince Jan 2, 2015 Accepting new patients
Vpa PC Family Medicine CurrentSince Dec 12, 2011 Accepting new patients
State of Michigan Office of Financial Management Past Accepting new patients
Hill Family Medicine PLLC Family Medicine PastSince Jul 15, 2005 Accepting new patients
Emergency Medical Centre of Flint, Inc. Past Accepting new patients
State of Michigan Office of Financial Management PastSince Sep 24, 2023 Accepting new patients
McLaren Flint Past Accepting new patients

Locations

4444 W Bristol Rd
Ste 150
Flint, MI 48507
Phone (810) 230-9500

2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085

2205 Jolly Rd
Ste A
Okemos, MI 48864
Phone (517) 347-4085

2725 Airview Blvd
Ste 105
Portage, MI 49002
Phone (269) 349-8386

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

Interoperability endpoints

  • Direct secure messaging: jaime.yambao.1@32913.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1570/brand/1/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1033167226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991239",
            "telephone_number": "248-824-6600",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 W BRISTOL RD",
            "address_2": "SUITE 150",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073153",
            "telephone_number": "810-230-9500",
            "fax_number": "810-230-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMBAO",
        "first_name": "JAIME",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301076901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "010B560260",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "010B560260",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK GROUP",
            "identifier": "080B513530",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "010B560260",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IN",
            "identifier": "0802511362",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4743541",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "010B560260",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1015329",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GR",
            "identifier": "080B513530",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4891796",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "H94308",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ADVANTAGE NETWORK",
            "identifier": "1015329",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "0999611",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.