Individual provider Active NPI

George Daniel Yatzkan, MD

  • Pulmonary Disease Physician
  • Miami, FL
National Provider Identifier
1457308744
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME77088 Issued in FL
Practice address
11750 SW 40TH St
Miami, FL 33175-3530
Phone
(305) 223-3000
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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 ME77088 FL
Pulmonary Disease Physician 207RP1001X ME77088 FL Primary

Addresses

Primary practice location

11750 SW 40TH St
Miami, FL 33175-3530

Mailing address

PO Box 266211
Weston, FL 33326-6211
Phone (561) 967-4118

Other identifiers 5

IdentifierTypeStateIssuer
255428300MedicaidFL
255428300OtherFLPSN
P00306540OtherFLRAILROAD MEDICARE
N230893OtherFLWELLCARE
44965OtherFLBLUE CROSS BLUE SHIELD

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
I20040612000352 FL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 0042293672 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premium Healthcare Holdings, LLLPGroup PAC ID 7315320207, 8 clinicians

Practice addresses (Care Compare)

11750 SW 40 St
Miami, FL 33175-3530
Phone (305) 223-3000

2400 SW 69TH Ave
Suite 100
Miami, FL 33155-2947
Phone (305) 265-4441

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

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Medical Management, LLC. CurrentSince Apr 27, 2021 Accepting new patients
George Yatzkan MD PA CurrentSince Sep 19, 2015 Accepting new patients
Nova Medical Services - Pulmonary & Critical Care Division LLC Critical Care Medicine CurrentSince Mar 18, 2025 Accepting new patients
Premium Healthcare Holdings, LLLP CurrentSince Sep 30, 2022 Accepting new patients
Bangus Surgical Specialists LLC Past Accepting new patients
Ortega Pulmonary Associates PA Past Accepting new patients
Inphynet Contracting Services LLC Past Accepting new patients
Nuview Telehealth, LLC Internal Medicine Past Accepting new patients
Hoover Family Medicine PA Past Accepting new patients
Doctors ER Services, Inc. Past Accepting new patients

Locations

9415 Sunset Dr
Ste 151
Miami, FL 33173
Phone (305) 315-2707

6850 Coral Way
Miami, FL 33155
Phone (305) 665-8205

2400 SW 69th Ave
Miami, FL 33155
Phone (305) 413-5070

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

2400 SW 69th Ave
Ste 100
Miami, FL 33155

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

Organizations & group practices 11

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 6

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1457308744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266211",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333266211",
            "telephone_number": "561-967-4118",
            "fax_number": "561-967-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753530",
            "telephone_number": "305-223-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATZKAN",
        "first_name": "GEORGE",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME77088",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME77088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255428300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSN",
            "identifier": "255428300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00306540",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "N230893",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "44965",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.