Individual provider Active NPI

Hyemin Yang Pomerantz

  • Dermatology Physician
  • Wellesley, MA
National Provider Identifier
1346506763
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
283097 Issued in MA
Practice address
70 Hastings St Ste LL-2
Wellesley, MA 02481-5439
Phone
(781) 261-0085
NPI assigned
Apr 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 283097 MA Primary

Addresses

Primary practice location

70 Hastings St Ste LL-2
Wellesley, MA 02481-5439

Mailing address

70 Hastings St Ste LL-2
Wellesley, MA 02481-5439

Other names 1

  • Hye Min Yang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20201026000767 MA Practitioner - Dermatology 7618211376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Harvard Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vivaskin Dermatology and AestheticsGroup PAC ID 5799179164, 2 clinicians

Practice addresses (Care Compare)

70 Hastings St
Wellesley, MA 02481-5439
Phone (781) 261-0085

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28
Removal of tissue1-10
Removal of skin lesions536
Removal of skin cancer81
Skin biopsy163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283097MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vivaskin Dermatology Surgery Center, PLLC Dermatology CurrentSince Dec 15, 2024 Accepting new patients
Vivaskin Dermatology and Aesthetics Dermatology CurrentSince Jan 11, 2022 Accepting new patients
Reliant Medical Group, Inc CurrentSince Sep 28, 2020 Accepting new patients

Locations

70 Hastings St
Wellesley Hills, MA 02481
Phone (781) 261-0085

70 Hastings St
Ste LL2
Wellesley Hills, MA 02481
Phone (781) 261-0085

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00318
  • Direct secure messaging: hyemin.pomerantz.npi1346506763.reliant@direct.optumcare.masshiway.net

Organizations & group practices 3

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 1

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": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1346506763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 HASTINGS ST STE LL-2",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HASTINGS ST STE LL-2",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815439",
            "telephone_number": "781-261-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMERANTZ",
        "first_name": "HYEMIN",
        "middle_name": "YANG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "283097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HYE MIN",
            "last_name": "YANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.