Individual provider Active NPI

Justin Yamin, M.D.

  • Internal Medicine Physician
  • Worcester, MA
National Provider Identifier
1164650727
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
240217 Issued in MA
Practice address
281 Lincoln St
Med Staff SVCS
Worcester, MA 01605-2138
Phone
(508) 856-6239
NPI assigned
Jun 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 240217 MA Primary

Addresses

Primary practice location

281 Lincoln St
Med Staff SVCS
Worcester, MA 01605-2138

Mailing address

281 Lincoln St
Med Staff SVCS
Worcester, MA 01605-2138
Phone (508) 856-6239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150507000563 MA Practitioner - Gastroenterology 0749509164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Affiliates of Cape Cod IncGroup PAC ID 3577471564, 237 clinicians

Practice addresses (Care Compare)

27 Park St
Hyannis, MA 02601-5230
Phone (508) 771-1800

700 Attucks LN
Unit 1a
Hyannis, MA 02601-1809
Phone (508) 771-0169

Hospital & facility affiliations

  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Falmouth Hospital Hospital, Falmouth, MA, CCN 220135

Merit-based Incentive Payment System (MIPS)

Final score
76.23 of 100Reported as group
Quality
56.78
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy424
Upper gastrointestinal (GI) endoscopy for acid reflux353

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240217MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Cape and Islands Endoscopy Center LLC CurrentSince Jul 1, 2015 Accepting new patients
Cape Cod Hospital Inc Current Accepting new patients

Locations

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

27 Park St
#2
Hyannis, MA 02601
Phone (508) 862-5891

700 Attucks Ln
Unit 1E
Hyannis, MA 02601
Phone (508) 771-2100

700 Attucks Ln
Unit 1B
Hyannis, MA 02601
Phone (508) 367-3557

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/466/brand/1/csg/42/fhir/r4
  • Direct secure messaging: jyamin13976@direct.capecodhealthcare.masshiway.net

Organizations & group practices 4

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 2

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1164650727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 LINCOLN ST",
            "address_2": "MED STAFF SVCS",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052138",
            "telephone_number": "508-856-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 LINCOLN ST",
            "address_2": "MED STAFF SVCS",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052138",
            "telephone_number": "508-856-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMIN",
        "first_name": "JUSTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "240217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.