Individual provider Active NPI

Yifan Meng Griffin, MD

  • Pediatric Urology Physician
  • Tampa, FL
National Provider Identifier
1407376155
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
ME166494 Issued in FL
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

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
064740069OtherINMEDICARE PTAN
300063508MedicaidIN

Other names 1

  • Yifan Meng Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220630002567 IN Practitioner - Urology 8123390994 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME166494FLMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Urologists, Inc., PC Urology CurrentSince Jul 1, 2022 Accepting new patients
Childrens Urology Group PL Pediatric Urology CurrentSince Jun 9, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.