Individual provider Active NPI

Rumei Yuan, MD PHD

  • Ophthalmology Physician
  • Flushing, NY
National Provider Identifier
1194821603
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
206272 Issued in NY
Practice address
4235 Main St
Suite 3D
Flushing, NY 11355-3956
Phone
(718) 886-8318
Fax
(718) 559-4815
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 206272 NY Primary

Addresses

Primary practice location

4235 Main St
Suite 3D
Flushing, NY 11355-3956

Mailing address

4235 Main St
Suite 3D
Flushing, NY 11355-3956
Phone (718) 886-8318

Other identifiers 1

IdentifierTypeStateIssuer
01777417MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040723000851 NY Practitioner - Ophthalmology 1052391919 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206272NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Care Ophthalmology PC Ophthalmology CurrentSince Jan 31, 2024 Accepting new patients

Locations

4235 Main St
Ste 3D
Flushing, NY 11355
Phone (718) 886-8318

139 Centre St
Ste 610
New York, NY 10013
Phone (212) 966-5880

Organizations & group practices 1

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1194821603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 MAIN ST",
            "address_2": "SUITE 3D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553956",
            "telephone_number": "718-886-8318",
            "fax_number": "718-559-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 MAIN ST",
            "address_2": "SUITE 3D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553956",
            "telephone_number": "718-886-8318",
            "fax_number": "718-559-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUAN",
        "first_name": "RUMEI",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "206272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01777417",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.