NPIMap

Individual provider Active NPI

Jie Yang, M.D., PH.D.

  • Hematology & Oncology Physician
  • Norwich, CT
National Provider Identifier
1386719060
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
045298 Issued in CT
Practice address
330 Washington St Ste 220
Norwich, CT 06360-2700
Phone
(860) 886-8362
Fax
(860) 886-9262
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0062973 MD
Hematology & Oncology Physician 207RH0003X 045298 CT Primary

Addresses

Primary practice location

330 Washington St Ste 220
Norwich, CT 06360-2700

Mailing address

330 Washington St
Suite 220
Norwich, CT 06360-2700
Phone (860) 886-8362

Other identifiers 3

IdentifierTypeStateIssuer
9906067OtherCTAETNA
001452987MedicaidCT
010045298CT01OtherCTBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071205000140 CT Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8325137920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eastern Connecticut Hematology and Oncology Associates PCGroup PAC ID 3870552094, 13 clinicians

Practice addresses (Care Compare)

330 Washington St
Suite 220
Norwich, CT 06360-2700
Phone (860) 886-8362

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.37 of 100Reported as group
Improvement activities
40
Cost
81.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0062973MDMDInternal Medicine Physician
045298CTMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Connecticut Hematology & Oncology Associates PC Internal Medicine CurrentSince Oct 1, 2007 Accepting new patients
Day Kimball Healthcare, Inc. Hematology & Oncology Current Accepting new patients
Day Kimball Healthcare, Inc. Internal Medicine CurrentSince Oct 1, 2012 Accepting new patients
Day Kimball Healthcare, Inc. CurrentSince Oct 1, 2012 Accepting new patients

Locations

330 Washington St
Ste 220
Norwich, CT 06360
Phone (860) 886-8362

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

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.

Hospital & facility affiliations 8

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1386719060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON ST",
            "address_2": "SUITE 220",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602700",
            "telephone_number": "860-886-8362",
            "fax_number": "860-886-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON ST STE 220",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602700",
            "telephone_number": "860-886-8362",
            "fax_number": "860-886-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "JIE",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0062973",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CT",
            "license": "045298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9906067",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001452987",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "010045298CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.