Active NPI
Bruce Yacyshyn, MD
- Gastroenterology Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 35.080517
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100037650 | Medicaid | KY | |
| 200846990 | Medicaid | IN | |
| 2332783 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 25 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 39 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.080517 | OH | MD | Internal Medicine Physician |
| 01064973A | IN | MD | Gastroenterology Physician |
| R9F93 | MO | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Reid Physician Associates, Inc | Current | Accepting new patients | |
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| Reid Physician Associates, Inc. | Internal Medicine | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Internal Medicine | Current | 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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
Internal Medicine
-
dba Westfields Hospital
- Critical Access Hospital
- New Richmond, WI
- NPI 1881640183
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
Internal Medicine
-
- Family Medicine Physician
- Portsmouth, OH
- NPI 1457467227
-
dba Reid Health Physician Associates
- Internal Medicine Physician
- Richmond, IN
- NPI 1265689111
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
KY
-
dba HealthPartners Medical Group
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
WI
-
dba Somc Radiology Associates
- Diagnostic Radiology Physician
- Portsmouth, OH
- NPI 1366686230
-
dba Community Physician Network
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
dba Reid Health X-Ray Winchester
- Radiology Clinic/Center
- Winchester, IN
- NPI 1417653221
-
dba ULP Radiological Associates
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community Hospital South
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1235109778
-
dba Hudson Hospital & Clinics
- Critical Access Hospital
- Hudson, WI
- NPI 1396849303
-
dba Westfields Hospital
- Critical Access Hospital
- New Richmond, WI
- NPI 1881640183
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.