Individual provider Active NPI

Qian Yuan, MD

  • Pediatrics Physician
  • Newton Lower Falls, MA
National Provider Identifier
1356331920
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
209229 Issued in MA
Practice address
2000 Washington Street
Suite 466
Newton Lower Falls, MA 02462
Phone
(617) 969-8989
Fax
(617) 928-0178
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 209229 MA Primary
Pediatric Gastroenterology Physician 2080P0206X 209229 MA

Addresses

Primary practice location

2000 Washington Street
Suite 466
Newton Lower Falls, MA 02462

Mailing address

2000 Washington Street
Suite 466
Newton Lower Falls, MA 02462
Phone (617) 969-8989

Other identifiers 3

IdentifierTypeStateIssuer
468584OtherMATUFTS HEALTH PLAN
J26557OtherMABCBS MA
2037751MedicaidMA

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
I20040719000154 MA Practitioner - GastroenterologyPractitioner - Pediatric Medicine 2567446594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Pediatric Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The General Hospital CorporationGroup PAC ID 6507803806, 1,275 clinicians
Massachusetts General Physicians Organization IncGroup PAC ID 2466365820, 3,494 clinicians

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts General Physicians Organization Inc Pediatrics CurrentSince Dec 26, 2010 Accepting new patients
The General Hospital Corporation CurrentSince Dec 26, 2010 Accepting new patients
General Hospital Corp Current Accepting new patients
Pediatrics at Newton Wellesley, PC Pediatrics Past Accepting new patients

Locations

55 Fruit St
Ste 6B
Boston, MA 02114
Phone (617) 726-8705

55 Fruit St
Ste 6
Boston, MA 02114

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
#107
Boston, MA 02114
Phone (617) 726-2930

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

Interoperability endpoints

  • Direct secure messaging: yuan.qian.mgh@direct.partners.masshiway.net
  • Direct secure messaging: qyuan12649@direct.chppoc.masshiway.net

Organizations & group practices 4

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1356331920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON STREET",
            "address_2": "SUITE 466",
            "city": "NEWTON LOWER FALLS",
            "state": "MA",
            "postal_code": "02462",
            "telephone_number": "617-969-8989",
            "fax_number": "617-928-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON STREET",
            "address_2": "SUITE 466",
            "city": "NEWTON LOWER FALLS",
            "state": "MA",
            "postal_code": "02462",
            "telephone_number": "617-969-8989",
            "fax_number": "617-928-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUAN",
        "first_name": "QIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "209229",
            "primary": true
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "MA",
            "license": "209229",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "468584",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J26557",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2037751",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Lower Falls, MA

Sources for this page

Verify at the official NPI Registry.