Individual provider Active NPI

Andrew Yin, MD

  • Cardiovascular Disease Physician
  • Naples, FL
National Provider Identifier
1417162199
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME116357 Issued in FL
Practice address
6376 Pine Ridge Rd Unit 180
Naples, FL 34119-3926
Phone
(239) 263-0849
Fax
(239) 263-2376
NPI assigned
May 14, 2007
Last updated
Jun 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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 MT188559 PA
Cardiovascular Disease Physician 207RC0000X ME116357 FL Primary

Addresses

Primary practice location

6376 Pine Ridge Rd Unit 180
Naples, FL 34119-3926

Mailing address

6376 Pine Ridge Rd Unit 180
Naples, FL 34119-3926
Phone (239) 263-0849

Other practice location 1

730 Goodlette Rd Ste 100
Naples, FL 34102-5617
Phone (239) 682-6603

Other identifiers 3

IdentifierTypeStateIssuer
P01238894OtherFLRR MEDICARE
009153800MedicaidFL
14T2WOtherFLBCBS

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
I20130801000409 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 9234304502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
State University of New York Downstate Medical Center, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naples Heart Rhythm Specialists PAGroup PAC ID 8729177035, 21 clinicians

Practice addresses (Care Compare)

6376 Pine Ridge Rd
Naples, FL 34119-3926
Phone (239) 263-0849

730 Goodlette Rd N
Suite 100
Naples, FL 34102-5617
Phone (239) 682-6603

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.55 of 100Reported as individual
Quality
78
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT188559PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naples Heart Rhythm Specialists PA CurrentSince Sep 1, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6101 Pine Ridge Rd
Fl 1
Naples, FL 34119
Phone (239) 263-0849

6376 Pine Ridge Rd
Unit 180
Naples, FL 34119
Phone (239) 263-0849

730 Goodlette Rd
Ste 100
Naples, FL 34102
Phone (239) 263-0849

Interoperability endpoints

  • Direct secure messaging: andrew.yin.1@25641.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25641/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1417162199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6376 PINE RIDGE RD UNIT 180",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193926",
            "telephone_number": "239-263-0849",
            "fax_number": "239-263-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6376 PINE RIDGE RD UNIT 180",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193926",
            "telephone_number": "239-263-0849",
            "fax_number": "239-263-2376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Goodlette Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025617",
            "country_code": "US",
            "telephone_number": "239-682-6603",
            "fax_number": "239-263-2014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YIN",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT188559",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME116357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01238894",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009153800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14T2W",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.