Individual provider Active NPI

Yvonne Lynn Ottaviano, M.D.

  • Hematology & Oncology Physician
  • Rosedale, MD
National Provider Identifier
1194880906
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD482883 Issued in PA
Practice address
9103 Frankling Square Drive
Rosedale, MD 21236
Phone
(443) 777-7147
Fax
(443) 777-8405
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X D40850 MD
Hematology & Oncology Physician 207RH0003X MD482883 PA Primary

Addresses

Primary practice location

9103 Frankling Square Drive
Rosedale, MD 21236

Mailing address

109 Longwood Rd
Baltimore, MD 21210-2119
Phone (410) 464-1658

Other practice location 1

500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-8024

Other identifiers 2

IdentifierTypeStateIssuer
776471500MedicaidMD
D40850OtherMDMD STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20101005001072 MD Practitioner - Medical Oncology 5496947723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
University of Maryland School of Medicine, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Practice addresses (Care Compare)

2401 W Belvedere Ave
Sinai Oncology Associates Lapidus Cancer in
Baltimore, MD 21215-5216
Phone (410) 601-4608

Hospital & facility affiliations

  • Sinai Hospital of Baltimore Hospital, Baltimore, MD, CCN 210012

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD482883PAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physician Group CurrentSince Oct 31, 2023 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Oct 24, 2024 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S Hershey Medical Center Physicians Group Hematology & Oncology CurrentSince Oct 31, 2023 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Sinai Hospital of Baltimore Inc Hematology & Oncology CurrentSince Oct 24, 2024 Accepting new patients
Alliance Hematology Oncology PA Hematology & Oncology Past Accepting new patients
Sinai Hospital of Baltimore Inc Hematology & Oncology Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

Interoperability endpoints

  • Direct secure messaging: yottaviano@medstar.direct.varian.com

Organizations & group practices 8

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1194880906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LONGWOOD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102119",
            "telephone_number": "410-464-1658",
            "fax_number": "443-777-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9103 FRANKLING SQUARE DRIVE",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "21236",
            "telephone_number": "443-777-7147",
            "fax_number": "443-777-8405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-8024",
            "fax_number": "717-531-0882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTAVIANO",
        "first_name": "YVONNE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MD",
            "license": "D40850",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD482883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "776471500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD STATE LICENSE",
            "identifier": "D40850",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

Verify at the official NPI Registry.