Individual provider Active NPI

Tammy Lyn Yanovitch, MD

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Oklahoma City, OK
National Provider Identifier
1124057039
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
22907 Issued in OK
Practice address
608 Stanton L Young Blvd
Oklahoma City, OK 73104
Phone
(405) 271-6060
Fax
(405) 271-3013
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 22907 OK
Ophthalmology Physician 207W00000X 133019 NC
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 22907 OK Primary

Addresses

Primary practice location

608 Stanton L Young Blvd
Oklahoma City, OK 73104

Mailing address

608 Stanton L Young Blvd
Oklahoma City, OK 73104-5014
Phone (405) 271-6060

Other identifiers 1

IdentifierTypeStateIssuer
200352880AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tyanovitch@directdmei.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20111208000512 OK Practitioner - Ophthalmology 8921003435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

608 Stanton L Young Blvd
Oklahoma City, OK 73104-5014
Phone (405) 271-6060

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
73.92
Promoting interoperability
100
Improvement activities
40
Cost
75.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
133019NCMDOphthalmology Physician
22907OKMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dean McGee Eye Institute CurrentSince Nov 1, 2011 Accepting new patients
Ou Health Partners, Inc CurrentSince Feb 1, 2026 Accepting new patients
Ou Health Partners, Inc CurrentSince Feb 1, 2026 Accepting new patients
Dean McGee Eye Institute Ophthalmology CurrentSince Nov 1, 2011 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
University of Oklahoma Heal Sci Ctr College of Medicine Ophthalmology Ophthalmology Past Accepting new patients

Locations

608 Stanton L Young Blvd
Oklahoma City, OK 73104
Phone (405) 271-6060

1200 Childrens Ave
Oklahoma City, OK 73104
Phone (405) 271-2429

Interoperability endpoints

  • Direct secure messaging: tyanovitch71263@ouhealth.direct-ci.net

Organizations & group practices 6

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1124057039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045014",
            "telephone_number": "405-271-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73104",
            "telephone_number": "405-271-6060",
            "fax_number": "405-271-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANOVITCH",
        "first_name": "TAMMY",
        "middle_name": "LYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "22907",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "133019",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "OK",
            "license": "22907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200352880A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tyanovitch@directdmei.org",
            "affiliation": "N",
            "address_1": "608 Stanton L Young Blvd",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "73104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.