Individual provider Active NPI

Ayman D Yaish, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Beaver Dam, WI
National Provider Identifier
1346450558
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
5101015734 Issued in MI
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

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081212000607 WI Practitioner - OtolaryngologyPractitioner - Osteopathic Manipulative MedicinePractitioner - Sleep Medicine 5395806053 Reassigns benefits to 3 organizations
I20230228002087 MI Practitioner - OtolaryngologyPractitioner - Sleep Medicine 5395806053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Osteopathic Manipulative Medicine, Sleep Medicine
Education
Michigan State University College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Face and Skin LLCGroup PAC ID 0244428340, 4 clinicians
Repose PLLCGroup PAC ID 2769854579, 3 clinicians

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 Hospital, Mount Clemens, MI, CCN 230227
  • Watertown Memorial Hospital Hospital, Watertown, WI, CCN 520116
  • Marshfield Medical Center - Beaver Dam (MMC-BD) Hospital, Beaver Dam, WI, CCN 520076
  • Columbus Community Hospital Hospital, Columbus, WI, CCN 521338
  • Marshfield Medical Center Hospital, Marshfield, WI, CCN 520037

Merit-based Incentive Payment System (MIPS)

Final score
81.77 of 100Reported as individual
Quality
63.53
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
69.34 of 100Reported as group
Quality
87.81
Promoting interoperability
100
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Repose PLLC Otolaryngology/Facial Plastic Surgery CurrentSince Dec 1, 2022 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Edgerton Hospital and Health Services Inc. CurrentSince Dec 1, 2019 Accepting new patients
Edgerton Hospital and Health Services, Inc CurrentSince Dec 1, 2019 Accepting new patients
Sleepwell DME LLC Current Accepting new patients
Face and Skin LLC Otolaryngology CurrentSince Aug 1, 2010 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

  • Direct secure messaging: aymanyaish@fs.allscriptsdirect.net
  • Direct secure messaging: ayaish264246@direct-ehr-ssmhc.com
  • Direct secure messaging: ayman.yaish@marshfieldclinichealthsystem.cernerdirect.com
  • FHIR API: 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.

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.