Individual provider Active NPI

Yi Jia, MD, PHD

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1225398704
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
296750 Issued in NY
Practice address
70 W 36TH St # 5C
New York, NY 10018-8007
Phone
(917) 338-7680
Fax
(917) 338-6382
NPI assigned
May 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD463601 PA
Gastroenterology Physician 207RG0100X 0101269644 VA
Gastroenterology Physician 207RG0100X 296750 NY Primary

Addresses

Primary practice location

70 W 36TH St # 5C
New York, NY 10018-8007

Mailing address

70 W 36TH St Unit 5C
New York, NY 10018-8007
Phone (917) 338-7680

Other identifiers 2

IdentifierTypeStateIssuer
05663570MedicaidNY
372428801MedicaidTX

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
I20191104000951 NY Practitioner - Gastroenterology 1658640479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

70 W 36TH St
RM 12B
New York, NY 10018-8012
Phone (917) 338-7680

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy75
Upper gastrointestinal (GI) endoscopy for acid reflux65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD463601PAMDGastroenterology Physician
0101269644VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Jul 1, 2018 Accepting new patients
Yi Jia Gi Medical P.C. Gastroenterology CurrentSince May 8, 2021 Accepting new patients
University of Penn - Medical Group Gastroenterology CurrentSince Jul 1, 2018 Accepting new patients
Maimonides Medical Center Current Accepting new patients
NJ-Ny Gastroenterology Associate Past Accepting new patients
Jun Li Anesthesia Associated PC PastSince May 8, 2021 Accepting new patients

Locations

70 W 36th St
Rm 12B
New York, NY 10018
Phone (917) 338-6382

3400 Spruce St
Fl 3
Philadelphia, PA 19104

3400 Civic Center Blvd
#4
Philadelphia, PA 19104
Phone (215) 614-1618

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: yi.jia.1@14718.direct.athenahealth.com
  • Direct secure messaging: yijia@mai.allscriptsdirect.net

Organizations & group practices 6

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": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1225398704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 W 36TH ST UNIT 5C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100188007",
            "telephone_number": "917-338-7680",
            "fax_number": "917-338-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W 36TH ST # 5C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100188007",
            "telephone_number": "917-338-7680",
            "fax_number": "917-338-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIA",
        "first_name": "YI",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-18",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD463601",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101269644",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "296750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05663570",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372428801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.