Individual provider Active NPI

John Y Yaylagul, D.O.

  • Emergency Medicine Physician
  • Rocky Hill, CT
National Provider Identifier
1346289790
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
044233 Issued in CT
Practice address
396 Cromwell Avenue
Rocky Hill, CT 06067-1841
Phone
(860) 249-1570
Fax
(860) 679-3489
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 044233 CT Primary

Addresses

Primary practice location

396 Cromwell Avenue
Rocky Hill, CT 06067-1841

Mailing address

P.O. Box 949
Rocky Hill, CT 06067-0949
Phone (860) 249-1570

Other practice location 1

263 Farmington Avenue
Farmington, CT 06030-8082
Phone (860) 679-2001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jyaylagul11078@direct.med.uchc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20060707000309 CT Practitioner - Emergency MedicinePractitioner - Osteopathic Manipulative Medicine 6204848484 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044233CTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ctuc01 CurrentSince Jul 1, 2022 Accepting new patients
Afc Physicians of Connecticut, PC Current Accepting new patients
State of Connecticut Emergency Medicine CurrentSince Jun 1, 2006 Accepting new patients
State of Connecticut CurrentSince Jun 1, 2006 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Jul 1, 2022 Accepting new patients

Locations

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

396 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 249-1570

365 Queen St
Ste 4
Southington, CT 06489
Phone (860) 863-5385

365 Queen St
Southington, CT 06489
Phone (855) 349-2828

Interoperability endpoints

  • Direct secure messaging: jyaylagul11078@direct.med.uchc.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1346289790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 949",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060670949",
            "telephone_number": "860-249-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 CROMWELL AVENUE",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671841",
            "telephone_number": "860-249-1570",
            "fax_number": "860-679-3489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 FARMINGTON AVENUE",
            "address_purpose": "LOCATION",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308082",
            "country_code": "US",
            "telephone_number": "860-679-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAYLAGUL",
        "first_name": "JOHN",
        "middle_name": "Y",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "044233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jyaylagul11078@direct.med.uchc.edu",
            "affiliation": "N",
            "endpointDescription": "UConn",
            "address_1": "263 FARMINGTON AVENUE",
            "city": "FARMINGTON",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060308082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.