Active NPI
Ayman D Yaish, D.O.
- Otolaryngology/Facial Plastic Surgery Physician
- Beaver Dam, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 5101015734
- Practice address
- 120 Park Ave Ste 1
Beaver Dam, WI 53916-2132 - Phone
- (920) 885-5225
- Fax
- (920) 356-6419
- NPI assigned
- May 23, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 5101015734 | MI | Primary |
Addresses
Primary practice location
120 Park Ave Ste 1
Beaver Dam, WI 53916-2132
Mailing address
120 Park Ave Ste 1
Beaver Dam, WI 53916-2132
Phone (920) 885-5225
Other practice location 1
123 Hospital Dr
Watertown, WI 53098-3331
Phone (920) 885-5225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Michigan State University College of Osteopathic Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Park Ave
Suite 1
Beaver Dam, WI 53916-2132
Phone (920) 885-5225
36557 Harper Ave
Clinton TWP, MI 48035-2012
Phone (586) 228-0600
Hospital & facility affiliations
- McLaren Macomb
- Watertown Memorial Hospital
- Marshfield Medical Center - Beaver Dam (MMC-BD)
- Columbus Community Hospital
- Marshfield Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.77 of 100
- Quality
- 63.53
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.34 of 100
- Quality
- 87.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 10
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Repose PLLC | Otolaryngology/Facial Plastic Surgery | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Edgerton Hospital and Health Services Inc. | Current | Accepting new patients | |
| Edgerton Hospital and Health Services, Inc | Current | Accepting new patients | |
| Sleepwell DME LLC | Current | Accepting new patients | |
| Face and Skin LLC | Otolaryngology | Current | Accepting new patients |
| Face and Skin LLC | Past | Accepting new patients |
Locations
36557 Harper Ave
Clinton Twp, MI 48035
Phone (586) 228-0600
36539 Harper Ave
Clinton Twp, MI 48035
Phone (586) 792-8877
707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006
130 Warren St
Ste 130
Beaver Dam, WI 53916
Phone (920) 356-6409
120 Park Ave
Ste 1
Beaver Dam, WI 53916
Phone (920) 356-6416
4200 Savannah Dr
Deforest, WI 53532
Phone (608) 417-3300
11101 N Sherman Rd
Edgerton, WI 53534
Phone (608) 884-1695
831 Arthur Dr
Milton, WI 53563
Phone (608) 868-3526
123 Hospital Dr
Ste 2003
Watertown, WI 53098
Phone (920) 245-5741
123 Hospital Dr
Ste 2002
Watertown, WI 53098
Phone (920) 261-1334
Interoperability endpoints
- aymanyaish@fs.allscriptsdirect.net
- ayaish264246@direct-ehr-ssmhc.com
- ayman.yaish@marshfieldclinichealthsystem.cernerdirect.com
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/75239
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.
-
- Otolaryngology Physician
- Beaver Dam, WI
- NPI 1942524780
-
- Otolaryngology/Facial Plastic Surgery Physician
- Clinton Township, MI
- NPI 1144944349
-
- Critical Access Hospital
- Edgerton, WI
- NPI 1154350049
-
- Urgent Care Clinic/Center
- Whitewater, WI
- NPI 1982496295
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
-
- Durable Medical Equipment & Medical Supplies
- Clinton Township, MI
- NPI 1659100931
-
- Durable Medical Equipment & Medical Supplies
- Clinton Township, MI
- NPI 1598525230
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaver Dam, WI
- NPI 1023187416
-
- Rural Acute Care Hospital
- Marshfield, WI
- NPI 1942749387
-
- Critical Access Hospital
- Columbus, WI
- NPI 1154403657
-
- Critical Access Hospital
- Columbus, WI
- NPI 1841376183
-
- General Acute Care Hospital
- Watertown, WI
- NPI 1992776041
-
- Psychiatric Hospital Unit
- Shelby Township, MI
- NPI 1184206385
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1346450558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 PARK AVE STE 1",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539162132",
"telephone_number": "920-885-5225",
"fax_number": "920-356-6419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 PARK AVE STE 1",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539162132",
"telephone_number": "920-885-5225",
"fax_number": "920-356-6419"
}
],
"practiceLocations": [
{
"address_1": "123 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Watertown",
"state": "WI",
"postal_code": "530983331",
"country_code": "US",
"telephone_number": "920-885-5225",
"fax_number": "920-356-6419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAISH",
"first_name": "AYMAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2024-01-11",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "MI",
"license": "5101015734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaver Dam, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.