Individual provider Active NPI

Yan Kiriakov, D.O.

  • Family Medicine Physician
  • Furlong, PA
National Provider Identifier
1467863324
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS018405 Issued in PA
Practice address
2325 Heritage Center Dr Ste 200
Furlong, PA 18925-1262
Phone
(267) 406-4422
NPI assigned
May 14, 2014
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS015700 PA
Family Medicine Physician 207Q00000X OS018405 PA Primary

Addresses

Primary practice location

2325 Heritage Center Dr Ste 200
Furlong, PA 18925-1262

Mailing address

2325 Heritage Center Dr Ste 200
Furlong, PA 18925-1262
Phone (267) 406-4422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170620000690 PA Practitioner - Family Practice 4880811140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians
Value in Prevention of Pennsylvania LLCGroup PAC ID 4981079498, 5 clinicians

Practice addresses (Care Compare)

201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703

2325 Heritage Ctr Dr
Suite 200
Furlong, PA 18925-1262
Phone (267) 247-5100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS018405PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Jan 1, 2019 Accepting new patients
Value in Prevention of Pennsylvania, LLC Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
MHP MD PLLC CurrentSince Oct 16, 2021 Accepting new patients

Locations

400 Fayette St
Ste 180
Conshohocken, PA 19428
Phone (484) 243-6622

48 E Ridge Pike
#A
Conshohocken, PA 19428
Phone (484) 243-6730

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

2325 Heritage Center Dr
Ste 200
Furlong, PA 18925
Phone (267) 247-5100

180 W Girard Ave
Ste 108
Philadelphia, PA 19123
Phone (267) 319-8047

2401 W Cheltenham Ave
Ste 132
Wyncote, PA 19095
Phone (215) 935-6777

Interoperability endpoints

  • Direct secure messaging: yan.kiriakov.1@13502.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1467863324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 HERITAGE CENTER DR STE 200",
            "city": "FURLONG",
            "state": "PA",
            "postal_code": "189251262",
            "telephone_number": "267-406-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 HERITAGE CENTER DR STE 200",
            "city": "FURLONG",
            "state": "PA",
            "postal_code": "189251262",
            "telephone_number": "267-406-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRIAKOV",
        "first_name": "YAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015700",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS018405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Furlong, PA

Sources for this page

Verify at the official NPI Registry.