NPIMap

Individual provider Active NPI

Angelino S Yson, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Louisville, KY
National Provider Identifier
1336193465
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
27613 Issued in KY
Practice address
4003 Kresge Way
Suite 400
Louisville, KY 40207-4652
Phone
(502) 895-4263
Fax
(502) 899-5488
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 27613 KY Primary

Addresses

Primary practice location

4003 Kresge Way
Suite 400
Louisville, KY 40207-4652

Mailing address

PO Box 950248
Louisville, KY 40295-0248
Phone (502) 253-1035

Other identifiers 15

IdentifierTypeStateIssuer
000000575262OtherKYANTHEM - NCMA
P00655716OtherKYRAILROAD MCR - NMA
3534949000OtherKYPASSPORT ADVTG - NMA
3759061000OtherKYPASSPORT ADVTG - NCMA
64276132MedicaidKY
097760OtherKYSIHO
2432738000MedicaidKY
200035830OtherINMEDICAID-IN - NMA
50027043OtherKYPASSPORT - NCMA
5020165OtherKYPASSPORT - NMA
000023033QOtherKYHUMANA
00533053OtherKYMEDICARE - KY - NMA
0994672OtherKYCIGNA - NMA
000000614192OtherKYANTHEM - NMA
64276132OtherKYMEDICAID-KY - NMA

Other names 1

  • Dr. Angelino Yson Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ayson5698@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080923000714 KY Practitioner - EndocrinologyPractitioner - Internal Medicine 2365519931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2800 Breckenridge LN
Louisville, KY 40220-1402

3900 Kresge Way
Louisville, KY 40207-4681

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince May 28, 2013 Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2008 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 28, 2013 Accepting new patients
Community Medical Associates, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Aug 1, 2008 Accepting new patients

Locations

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

2800 Breckenridge Ln
Ste 320
Louisville, KY 40220
Phone (502) 893-7462

3 Audubon Plaza Dr
Ste 430
Louisville, KY 40217
Phone (502) 636-4900

4003 Kresge Way
Ste 400
Louisville, KY 40207
Phone (502) 895-4263

Interoperability endpoints

  • Direct secure messaging: ayson5698@bhkydirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1336193465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950248",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950248",
            "telephone_number": "502-253-1035",
            "fax_number": "502-253-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 KRESGE WAY",
            "address_2": "SUITE 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074652",
            "telephone_number": "502-895-4263",
            "fax_number": "502-899-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YSON",
        "first_name": "ANGELINO",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KY",
            "license": "27613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - NCMA",
            "identifier": "000000575262",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR - NMA",
            "identifier": "P00655716",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVTG - NMA",
            "identifier": "3534949000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVTG - NCMA",
            "identifier": "3759061000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64276132",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "097760",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2432738000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-IN - NMA",
            "identifier": "200035830",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT - NCMA",
            "identifier": "50027043",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT - NMA",
            "identifier": "5020165",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000023033Q",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - KY - NMA",
            "identifier": "00533053",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA - NMA",
            "identifier": "0994672",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - NMA",
            "identifier": "000000614192",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-KY - NMA",
            "identifier": "64276132",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ayson5698@bhkydirect.com",
            "affiliation": "N",
            "address_1": "4003 Kresge Way",
            "address_2": "Suite 400",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELINO",
            "last_name": "YSON",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.