Individual provider Active NPI

Miguel Angel Yanez, M.D.

  • Plastic Surgery Physician
  • Charlotte, NC
National Provider Identifier
1083729412
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
200800100 Issued in NC
Practice address
5815 Blakeney Park Dr Ste 100
Charlotte, NC 28277-5732
Phone
(704) 542-2220
Fax
(704) 572-3304
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 9330 PR
Plastic Surgery Physician 208200000X 200800100 NC Primary

Addresses

Primary practice location

5815 Blakeney Park Dr Ste 100
Charlotte, NC 28277-5732

Mailing address

1072 X Ray Dr
Gastonia, NC 28054-7498
Phone (704) 671-1094

Other practice location 1

309 S Sharon Amity Rd Ste 200
Charlotte, NC 28211-2886
Phone (704) 344-8846

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080215000561 NC Practitioner - Plastic and Reconstructive Surgery 3274616099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Puerto Rico School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Plastic Surgery and Dermatology PAGroup PAC ID 6800875188, 56 clinicians

Practice addresses (Care Compare)

309 S Sharon Amity Rd
Charlotte, NC 28211-2978
Phone 7046711094101

5815 Blakeney Park Dr
Suite 100
Charlotte, NC 28277-5732
Phone (704) 542-2220

959 Cox Rd
Gastonia, NC 28054-3420
Phone (704) 866-0106

Merit-based Incentive Payment System (MIPS)

Final score
89.65 of 100Reported as group
Quality
91.92
Promoting interoperability
94
Improvement activities
40
Cost
78.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision141
Removal of tissue1-10
Removal of skin lesions354
Removal of nail tissue1-10
Skin biopsy155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200800100NCMDPlastic Surgery Physician
9330PRMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Plastic Surgery & Dermatology PA CurrentSince Mar 1, 2008 Accepting new patients
Piedmont Plastic Surgery and Dermatology Past Accepting new patients

Locations

5815 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 542-2220

309 S Sharon Amity Rd
Ste 200
Charlotte, NC 28211
Phone (704) 344-8846

309 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 446-2360

1072 X Ray Dr
Gastonia, NC 28054
Phone (704) 671-1094

959 Cox Rd
Gastonia, NC 28054
Phone (704) 866-0106

Interoperability endpoints

  • Direct secure messaging: myanez@piedmont.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083729412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 X RAY DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547498",
            "telephone_number": "704-671-1094",
            "fax_number": "704-671-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 BLAKENEY PARK DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775732",
            "telephone_number": "704-542-2220",
            "fax_number": "704-572-3304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 S Sharon Amity Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282112886",
            "country_code": "US",
            "telephone_number": "704-344-8846",
            "fax_number": "704-344-9844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANEZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PR",
            "license": "9330",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "200800100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.