Individual provider Active NPI

Yan G Makeyev, MD

  • Hematology & Oncology Physician
  • Orange Park, FL
National Provider Identifier
1386812253
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME117262 Issued in FL
Practice address
2141 Loch Rane Blvd Ste 116
Orange Park, FL 32073
Phone
(904) 427-1270
NPI assigned
Feb 13, 2008
Last updated
Jun 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 244912 NY
Hematology & Oncology Physician 207RH0003X ME117262 FL Primary

Addresses

Primary practice location

2141 Loch Rane Blvd Ste 116
Orange Park, FL 32073

Mailing address

2160 Colonial Blvd
Fort Myers, FL 33907-1410
Phone (239) 931-7212

Other identifiers 11

IdentifierTypeStateIssuer
368661OtherFLAVMED
1193393OtherFLWELLCARE
P0026508OtherFLFLORIDA HEALTHCARE PLUS
P01327652OtherFLRR MEDICARE
P01593274OtherFLRR MEDICARE
14RW6OtherFLBCBS
009397000MedicaidFL
922243OtherFLWELLCARE
1108013OtherFLCARE PLUS HEALTH PLANS
8268321OtherFLCIGNA
9607624OtherFLAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130828000840 FL Practitioner - Hematology/Oncology 6406099134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
State University of New York Downstate Medical Center, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

14550 Old Saint Augustine Rd
Jacksonville, FL 32258-2460
Phone (904) 244-3477

1699 S 14TH St
Suite 1
Fernandina Beach, FL 32034-1995
Phone (904) 427-1370

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 244-3477

7751 Baymeadows Rd E
205 Uf Health Oncology Baymeadows
Jacksonville, FL 32256-5836
Phone (904) 427-1050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244912NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC Hematology & Oncology Current Accepting new patients
Shands Jacksonville Medical Center Inc CurrentSince Jan 1, 2018 Accepting new patients
21St Century Oncology LLC CurrentSince Jan 1, 2016 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Jan 1, 2016 Accepting new patients
Shands Jacksonville Medical Center Inc CurrentSince Jan 1, 2018 Accepting new patients
Shands Jacksonville Medical Center Inc Hematology & Oncology Current Accepting new patients
Integrated Community Oncology Network LLC PastSince Sep 1, 2013 Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients

Locations

425 Nursing Home Dr
Arcadia, FL 34266
Phone (863) 494-9991

1551 S 14th St
Ste D
Fernandina Beach, FL 32034
Phone (904) 277-9728

1699 S 14th St
Ste 1
Fernandina Beach, FL 32034
Phone (904) 427-1370

2160 Colonial Blvd
Fort Myers, FL 33907

7751 Baymeadows Rd E
Ste 101A
Jacksonville, FL 32256
Phone (904) 493-5190

7751 Baymeadows Rd E
Ste 2
Jacksonville, FL 32256
Phone (904) 427-1050

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

2141 Loch Rane Blvd
Ste 116
Orange Park, FL 32073
Phone (904) 272-3022

600 Zeagler Dr
Fl Oncology
Palatka, FL 32177
Phone (386) 328-8791

600 Zeagler Dr
Ste 1
Palatka, FL 32177
Phone (386) 325-8140

3210 Fruitville Rd
Sarasota, FL 34237
Phone (941) 364-8887

Interoperability endpoints

  • Direct secure messaging: ymakeyev161418@direct.shands.ufl.edu

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1386812253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071410",
            "telephone_number": "239-931-7212",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 LOCH RANE BLVD STE 116",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32073",
            "telephone_number": "904-427-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKEYEV",
        "first_name": "YAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "244912",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME117262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "368661",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1193393",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA HEALTHCARE PLUS",
            "identifier": "P0026508",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01327652",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01593274",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14RW6",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009397000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "922243",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE PLUS HEALTH PLANS",
            "identifier": "1108013",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8268321",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9607624",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.