Individual provider Active NPI

Dali Yin, MD, PHD

  • Neurological Surgery Physician
  • Flint, MI
National Provider Identifier
1437566783
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
4301116338 Issued in MI
Practice address
4800 S Saginaw St Ste 1800
Flint, MI 48507
Phone
(810) 732-8336
NPI assigned
Jul 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 036.143999 IL
Neurological Surgery Physician 207T00000X 4301116338 MI Primary

Addresses

Primary practice location

4800 S Saginaw St Ste 1800
Flint, MI 48507

Mailing address

4800 S Saginaw St Ste 1800
Flint, MI 48507-2677
Phone (810) 732-8336

Other practice location 1

1740 W Taylor St
Chicago, IL 60612-7232
Phone (312) 996-4842

Other practice location 2

1740 W Taylor St
Chicago, IL 60612-7232
Phone (312) 996-4842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170605001941 IL Practitioner - General Surgery 2961706569 Reassigns benefits to 3 organizations
I20190102000143 MI Practitioner - Neurosurgery 2961706569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jawad a Shah MD PCGroup PAC ID 5799779633, 89 clinicians

Practice addresses (Care Compare)

4800 S Saginaw St
Suite 1800
Flint, MI 48507-2677
Phone 8107329333116

Hospital & facility affiliations

  • Southeast Michigan Surgical Hospital LLC Hospital, Warren, MI, CCN 230264
  • McLaren Flint Hospital, Flint, MI, CCN 230141

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Spinal fusion51
Laminectomy or laminotomy (partial removal of spine bones)13
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.143999ILMDNeurological Surgery Physician
4301116338MIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation CurrentSince Apr 8, 2017 Accepting new patients
Mount Sinai Community Foundation CurrentSince Apr 8, 2017 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Nov 28, 2017 Accepting new patients
The Board of Trustees of the University of Illinois Neurological Surgery CurrentSince Nov 28, 2017 Accepting new patients
Jawad a Shah, MD PC Neurological Surgery CurrentSince Nov 26, 2018 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Insight Chicago, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Jawad a Shah MD PC CurrentSince Nov 26, 2018 Accepting new patients
Insight Chicago, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Southeast Michigan Surgical Hospital, LLC Past Accepting new patients
McLaren Flint Past Accepting new patients

Locations

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

912 S Wood St
Chicago, IL 60612
Phone (312) 996-2200

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

4800 S Saginaw St
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1800
Flint, MI 48507
Phone (810) 732-8336

21230 Dequindre Rd
Warren, MI 48091
Phone (586) 427-1000

Interoperability endpoints

  • Direct secure messaging: dali.yin@insight.eclinicaldirectplus.com

Organizations & group practices 12

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 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": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1437566783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S SAGINAW ST STE 1800",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072677",
            "telephone_number": "810-732-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S SAGINAW ST STE 1800",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-732-8336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "312-996-4842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "312-996-4842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YIN",
        "first_name": "DALI",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-18",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036.143999",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301116338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.