Active NPI
Yifan Meng Griffin, MD
- Pediatric Urology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- ME166494
- Practice address
- 4712 N Armenia Ave Ste 200
Tampa, FL 33603-2611 - Phone
- (813) 874-7500
- Fax
- (813) 872-0955
- NPI assigned
- Jun 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 2017019494 | MO | |
| Urology Physician | 208800000X | 01087942A | IN | |
| Pediatric Urology Physician | 2088P0231X | ME166494 | FL | Primary |
Addresses
Primary practice location
4712 N Armenia Ave Ste 200
Tampa, FL 33603-2611
Mailing address
4712 N Armenia Ave Ste 200
Tampa, FL 33603-2611
Phone (813) 874-7500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064740069 | Other | IN | MEDICARE PTAN |
| 300063508 | Medicaid | IN |
Other names 1
- Yifan Meng
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME166494 | FL | MD | Pediatric Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Urologists, Inc., PC | Urology | Current | Accepting new patients |
| Childrens Urology Group PL | Pediatric Urology | Current | Accepting new patients |
Locations
601 5th St S
#602
Saint Petersburg, FL 33701
4712 N Armenia Ave
Ste 200
Tampa, FL 33603
Phone (813) 874-7500
7614 Solutions Ctr
Chicago, IL 60677
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
Interoperability endpoints
- ymeng99478@direct.eskenazihealth.edu
Organizations & group practices 2
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.
-
- Urology Physician
- Indianapolis, IN
- NPI 1104877141
-
- Pediatric Urology Physician
- Tampa, FL
- NPI 1194836239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1407376155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4712 N ARMENIA AVE STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336032611",
"telephone_number": "813-874-7500",
"fax_number": "813-872-0955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4712 N ARMENIA AVE STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336032611",
"telephone_number": "813-874-7500",
"fax_number": "813-872-0955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "YIFAN",
"middle_name": "MENG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-23",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MO",
"license": "2017019494",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IN",
"license": "01087942A",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "FL",
"license": "ME166494",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "064740069",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300063508",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YIFAN",
"last_name": "MENG",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.