Individual provider Active NPI

Burhan S Yanes, MD

  • Hematology & Oncology Physician
  • Kettering, OH
National Provider Identifier
1275572869
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
35062764 Issued in OH
Practice address
3120 Governors Place Blvd
Kettering, OH 45409-1328
Phone
(937) 293-1622
Fax
(937) 245-6308
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 35062764 OH Primary

Addresses

Primary practice location

3120 Governors Place Blvd
Kettering, OH 45409-1328

Mailing address

6680 Poe Ave Ste 200
Dayton, OH 45414-2855
Phone (937) 280-8400

Other identifiers 2

IdentifierTypeStateIssuer
000000389979OtherANTHEM
0888624MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address byanes2557@direct.premierhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040507001174 OH Practitioner - Hematology/Oncology 4688663354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moorings IncorporatedGroup PAC ID 4688832066, shared by 2 NPIs, 116 clinicians

Practice addresses (Care Compare)

120 Moorings Park Dr
Naples, FL 34105-2122

130 Moorings Park Dr
Naples, FL 34105-2122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
91.52
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35062764OHMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Physicians, LLC CurrentSince Jan 1, 2006 Accepting new patients
Dayton Physicians, LLC Hematology & Oncology CurrentSince Jan 1, 2006 Accepting new patients
Medical Oncology-Hematology Associates Inc. Hematology & Oncology Past Accepting new patients
Hematology & Oncology of Dayton, Inc. Hematology & Oncology Past Accepting new patients

Locations

2300 Miami Valley Dr
Ste 150
Centerville, OH 45459
Phone (937) 280-8366

1 Wyoming St
#5
Dayton, OH 45409
Phone (937) 220-2957

6680 Poe Ave
Ste 200
Dayton, OH 45414

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

9000 N Main St
Ste G-36
Englewood, OH 45415
Phone (937) 832-1093

3120 Governors Place Blvd
Kettering, OH 45409
Phone (937) 208-6066

1382 E Stroop Rd
Kettering, OH 45429
Phone (937) 293-4383

501 Atrium Dr
Fl 1
Middletown, OH 45005

855 W Market St
Troy, OH 45373
Phone (937) 552-7238

Organizations & group practices 4

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 1

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1275572869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6680 POE AVE STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142855",
            "telephone_number": "937-280-8400",
            "fax_number": "937-280-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 GOVERNORS PLACE BLVD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454091328",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANES",
        "first_name": "BURHAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35062764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000389979",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0888624",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "byanes2557@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "3120 Governors Place Blvd",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454091328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.