Individual provider Active NPI

Michael S Yep, DO

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1205511904
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS026091 Issued in PA
Practice address
3910 Caughey Rd
Erie, PA 16506-4096
Phone
(814) 877-5401
Fax
(814) 877-5400
NPI assigned
Jun 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS026091 PA Primary

Addresses

Primary practice location

3910 Caughey Rd
Erie, PA 16506-4096

Mailing address

3910 Caughey Rd
Erie, PA 16506-4096
Phone (814) 877-5401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230804002556 PA Order and Referring Only - Family PracticePractitioner - Family Practice 3173984226

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 Hot Meal St
Pittsburgh, PA 15203-2348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT022690PAMDFamily Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1205511904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 CAUGHEY RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064096",
            "telephone_number": "814-877-5401",
            "fax_number": "814-877-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 CAUGHEY RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064096",
            "telephone_number": "814-877-5401",
            "fax_number": "814-877-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEP",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-20",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS026091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.