Individual provider Active NPI

Bruce Yacyshyn, MD

  • Gastroenterology Physician
  • Cincinnati, OH
National Provider Identifier
1467466771
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35.080517 Issued in OH
Practice address
222 Piedmont Ave
Cincinnati, OH 45219-4231
Phone
(513) 475-7505
Fax
(513) 475-7355
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X R9F93 MO
Gastroenterology Physician 207RG0100X 35.080517 OH Primary
Gastroenterology Physician 207RG0100X 01064973A IN
Internal Medicine Physician 207R00000X 35.080517 OH

Addresses

Primary practice location

222 Piedmont Ave
Cincinnati, OH 45219-4231

Mailing address

PO Box 636256
Central Credentialing
Cincinnati, OH 45263-6256
Phone (513) 585-5507

Other practice location 1

7700 Washington Village Dr Ste 120
Centerville, OH 45459-4071
Phone (937) 425-4144

Other identifiers 3

IdentifierTypeStateIssuer
7100037650MedicaidKY
200846990MedicaidIN
2332783MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address byacyshyn912790@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN, KY, WI4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20061229000008 OH Practitioner - GastroenterologyPractitioner - Internal Medicine 7315947199 Reassigns benefits to 2 organizations
I20080327000306 IN Practitioner - Gastroenterology 7315947199 Reassigns benefits to 2 organizations
I20170327002749 KY Practitioner - Gastroenterology 7315947199 Reassigns benefits to 2 organizations
I20260514000475 WI Practitioner - Gastroenterology 7315947199 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Alberta, Faculty of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians
Westfields Hospital IncGroup PAC ID 2264490960, 108 clinicians

Practice addresses (Care Compare)

1402 E County Line Rd
Indianapolis, IN 46227-0963
Phone (317) 887-7113

535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy25
Upper gastrointestinal (GI) endoscopy for acid reflux39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.080517OHMDInternal Medicine Physician
01064973AINMDGastroenterology Physician
R9F93MOMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc Internal Medicine CurrentSince May 20, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Nov 20, 2025 Accepting new patients
University of Louisville Physicians, Inc. Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
Reid Physician Associates, Inc CurrentSince Oct 16, 2025 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Reid Physician Associates, Inc. Internal Medicine CurrentSince Oct 16, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Dec 1, 2019 Accepting new patients
Community Physicians of Indiana Inc Internal Medicine CurrentSince Nov 20, 2025 Accepting new patients
Gastroenterology Consultants of Greater Cincinnati Gastroenterology Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

5819 Reliable Pkwy
Chicago, IL 60686

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

1050 Reid Pkwy
Ste 110
Richmond, IN 47374
Phone (765) 935-8914

1402 E County Line Rd
Southport, IN 46227
Phone (317) 887-7000

401 E Chestnut St
Unit 310
Louisville, KY 40202
Phone (502) 584-8563

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

7700 Washington Village Dr
Ste 120
Dayton, OH 45459
Phone (937) 425-4144

7700 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (937) 531-0195

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1711 27th St
Ste 403
Portsmouth, OH 45662
Phone (740) 353-7881

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1467466771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256",
            "address_2": "CENTRAL CREDENTIALING",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-585-5507",
            "fax_number": "513-585-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PIEDMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452194231",
            "telephone_number": "513-475-7505",
            "fax_number": "513-475-7355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 Washington Village Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594071",
            "country_code": "US",
            "telephone_number": "937-425-4144",
            "fax_number": "937-425-4146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YACYSHYN",
        "first_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "R9F93",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35.080517",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01064973A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.080517",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100037650",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200846990",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2332783",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "byacyshyn912790@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "7700 Washington Village Dr Ste 120",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454594071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "7700 Washington Village Dr Ste 120",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454594071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.