Individual provider Active NPI

Alan J Yesner, M.D.

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1336182401
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0030930 Issued in FL
Practice address
4801 N Federal Hwy
102
Ft Lauderdale, FL 33308-4618
Phone
(954) 493-8666
Fax
(954) 938-4412
NPI assigned
Jun 14, 2006
Last updated
Jan 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0030930 FL Primary

Addresses

Primary practice location

4801 N Federal Hwy
102
Ft Lauderdale, FL 33308-4618

Mailing address

1500 NW 12TH Ave
JMT-East 1007
Miami, FL 33136-1051
Phone (305) 243-4664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040310001087 FL Practitioner - Internal Medicine 3072401942 Reassigns benefits to 1 organization
Practice locations: Fort Lauderdale, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Cross Hospital IncGroup PAC ID 1850298365, 299 clinicians

Practice addresses (Care Compare)

1309 S Federal Hwy
Holy Cross Medical Group
Fort Lauderdale, FL 33316-2040
Phone (954) 463-4383

4701 N Federal Hwy
Suite A10
Fort Lauderdale, FL 33308-4608
Phone (954) 542-2900

4701 N Federal Hwy A27
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4608
Phone (954) 938-9966

4701 N Federal Hwy A39
Holy Cross Medical Group
Fort Lauderdale, FL 33308-4608
Phone (954) 772-4553

4701 N Federal Hwy B
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4608
Phone (954) 229-6000

4725 N Fed Hwy
Ft. Lauderdale, FL 33308-4603
Phone (954) 771-8000

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 542-6000

4725 N Federal Hwy 201
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 565-5807

4725 N Federal Hwy 302
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 351-5931

4725 N Federal Hwy 401
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 772-2136

4725 N Federal Hwy 501
Holy Cross Medical Group
Fort Lauderdale, FL 33308-4603
Phone (954) 351-7770

4725 N Federal Hwy 504
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 414-9750

4725 N Federal Hwy Cancer Ctr
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 267-7700

4725 N Federal Hwy HCMG Multispecialty
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 267-6770

4725 N Federal Hwy Neuro Radiology
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5780

4725 N Federal Hwy Nuclear Medicine
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5748

4725 N Federal Hwy Pathology Departmen
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5728

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0030930FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital, Inc CurrentSince Aug 1, 2018 Accepting new patients
Holy Cross Hospital Inc Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
University of Miami Past Accepting new patients
Fort Lauderdale Surgical Specialists P a Past Accepting new patients
University of Miami Past Accepting new patients

Locations

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

4701 N Federal Hwy
Ste A10
Ft Lauderdale, FL 33308
Phone (954) 351-1100

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

Interoperability endpoints

  • Direct secure messaging: ayesner2023407@direct.trinity-health.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1336182401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW 12TH AVE",
            "address_2": "JMT-EAST 1007",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361051",
            "telephone_number": "305-243-4664",
            "fax_number": "305-243-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 N FEDERAL HWY",
            "address_2": "102",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084618",
            "telephone_number": "954-493-8666",
            "fax_number": "954-938-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YESNER",
        "first_name": "ALAN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0030930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.