Individual provider Active NPI

Nyan Win, MD

  • Internal Medicine Physician
  • Mansfield, OH
National Provider Identifier
1134187529
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.077210 Issued in OH
Practice address
480 Glessner Avenue
Mansfield, OH 44903
Phone
(419) 522-3372
Fax
(419) 526-1303
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35077210W OH
Internal Medicine Physician 207R00000X 35.077210 OH Primary

Addresses

Primary practice location

480 Glessner Avenue
Mansfield, OH 44903

Mailing address

480 Glessner Avenue
Mansfield, OH 44903
Phone (419) 522-3372

Other practice location 1

130 Hill St
Bucyrus, OH 44820-1511
Phone (419) 563-9329

Other identifiers 1

IdentifierTypeStateIssuer
2232686MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nwin482451@direct.osumc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040803001580 OH Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 4183695182 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians

Practice addresses (Care Compare)

124 Hill St
Bucyrus, OH 44820-1511
Phone (567) 560-3790

2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505

480 Glessner Ave
Mansfield, OH 44903-2056
Phone (419) 522-3372

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35077210WOHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galion Community Hospital Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Galion Community Hospital CurrentSince Jul 1, 2012 Accepting new patients
Pathology Laboratories, Inc. PastSince Sep 15, 2000 Accepting new patients

Locations

130 Hill St
Bucyrus, OH 44820
Phone (419) 462-4547

629 N Sandusky Ave
Bucyrus, OH 44820
Phone (419) 562-4677

269 Portland Way S
Galion, OH 44833
Phone (419) 468-4841

2981 W 4th St
Ontario, OH 44906
Phone (419) 468-0505

Organizations & group practices 5

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1134187529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 GLESSNER AVENUE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44903",
            "telephone_number": "419-522-3372",
            "fax_number": "419-526-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 GLESSNER AVENUE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44903",
            "telephone_number": "419-522-3372",
            "fax_number": "419-526-1303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Hill St",
            "address_purpose": "LOCATION",
            "city": "Bucyrus",
            "state": "OH",
            "postal_code": "448201511",
            "country_code": "US",
            "telephone_number": "419-563-9329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIN",
        "first_name": "NYAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35077210W",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.077210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2232686",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nwin482451@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "130 Hill St",
            "city": "Bucyrus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448201511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.