Active NPI
Kevin Yiming Yan, MD
- Neuro-ophthalmology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuro-ophthalmology Physician
- License
- 333715
- Practice address
- 17 E 102ND St FL 8
New York, NY 10029-5204 - Phone
- (212) 241-1159
- Fax
- (332) 777-0566
- NPI assigned
- Apr 7, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 333715 | NY | |
| Neuro-ophthalmology Physician | 207WX0109X | 333715 | NY | Primary |
Addresses
Primary practice location
17 E 102ND St FL 8
New York, NY 10029-5204
Mailing address
1365B Clifton Rd NE Ste B4500
Atlanta, GA 30322-1013
Phone (404) 778-5360
Other practice location 1
310 E 14th St
South Building, 3rd Floor
New York, NY 10003-4284
Phone (212) 979-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Massachusetts Medical School, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Icahn School of Medicine at Mount Sinai
Practice addresses (Care Compare)
1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 241-4572
1 Gustave Levy Place
Mount Sinai Emergency Room
New York, NY 10029-6500
Phone (212) 241-4572
17 E 102ND St 8TH FL
Ophthalmology Department of Mount
New York, NY 10029-5204
Phone 212241811848118
5 E 98TH St 2ND FL
New York, NY 10029-6501
Phone (212) 241-4572
Hospital & facility affiliations
- Mount Sinai Hospital
- Ny Eye and Ear Infirmary of Mount Sinai
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 333715 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| The Emory Clinic Inc | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Emory Health Care | Neurology | Past | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
1365 Clifton Rd NE
Ste B4500
Atlanta, GA 30322
2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245
17 E 102nd St
Fl 8
New York, NY 10029
Phone (212) 241-0939
150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119
310 E 14th St
New York, NY 10003
Phone (212) 979-4000
310 E 14th St
Bldg 3RD
New York, NY 10003
Phone (212) 477-7540
5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- kyan896882@direct.emory.org
Organizations & group practices 7
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.
-
- Ophthalmology Physician
- New York, NY
- NPI 1437421252
-
- Neurological Surgery Physician
- Newyork, NY
- NPI 1558627844
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
- Neurology Physician
- Atlanta, GA
- NPI 1376642751
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
-
- Special Hospital
- New York City, NY
- NPI 1245251222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1265061691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365B CLIFTON RD NE STE B4500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221013",
"telephone_number": "404-778-5360",
"fax_number": "404-778-4849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 E 102ND ST FL 8",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100295204",
"telephone_number": "212-241-1159",
"fax_number": "332-777-0566"
}
],
"practiceLocations": [
{
"address_1": "310 E 14th St",
"address_2": "South Building, 3rd Floor",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100034284",
"country_code": "US",
"telephone_number": "212-979-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAN",
"first_name": "KEVIN",
"middle_name": "YIMING",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-07",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "333715",
"primary": false
},
{
"code": "207WX0109X",
"taxonomy_group": "",
"desc": "Ophthalmology, Neuro-ophthalmology",
"state": "NY",
"license": "333715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.