NPIMap

Individual provider Active NPI

Edward Kwang Yi, M.D.

  • Diagnostic Radiology Physician
  • Dayton, OH
National Provider Identifier
1487840872
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01074532A Issued in IN
Practice address
1 Wyoming St
Dayton, OH 45409-2722
Phone
(937) 709-5051
Fax
(937) 709-5050
NPI assigned
Sep 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 11631 HI
Diagnostic Radiology Physician 2085R0202X 01074532A IN Primary

Addresses

Primary practice location

1 Wyoming St
Dayton, OH 45409-2722

Mailing address

PO Box 750243
Dayton, OH 45475-0243
Phone (937) 709-5051

Other practice location 1

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1401

Other practice location 2

713 Troy Schenectady Rd Ste 304
Latham, NY 12110-2490
Phone (518) 373-4448

Other practice location 3

1300 Massachusetts Ave
Troy, NY 12180-1628
Phone (518) 268-5590

Other practice location 4

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3482

Other practice location 5

600 Northern Blvd
Albany, NY 12204-1004
Phone (518) 471-3280

Other practice location 6

1270 Belmont Ave
Schenectady, NY 12308-2104
Phone (518) 382-4558

Other practice location 7

279 Troy Rd
Rensselaer, NY 12144-9518
Phone (518) 880-6300

Other practice location 8

2 Empire Dr
Rensselaer, NY 12144-5730
Phone (518) 286-4899

Other practice location 9

1 Tallow Wood Dr
Clifton Park, NY 12065-2807
Phone (518) 373-4448

Other practice location 10

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 709-5051

Other practice location 11

3909 Sierra Dr
Honolulu, HI 96816-3356
Phone (709) 301-9461

Other practice location 12

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 709-5051

Other identifiers 4

IdentifierTypeStateIssuer
201255740MedicaidIN
1487840872MedicaidMI
01102011MedicaidOH
1487840872MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, KY, MD, DC4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20120716000462 HI Practitioner - Diagnostic Radiology 6204092430 Reassigns benefits to 6 organizations
I20150114000712 KY Practitioner - Diagnostic Radiology 6204092430 Reassigns benefits to 1 organization
I20260304002729 MD Practitioner - Diagnostic Radiology 6204092430 Reassigns benefits to 1 organization
I20260319001833 DC Practitioner - Diagnostic Radiology 6204092430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Radiology Physicians IncGroup PAC ID 9537060470, 62 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

149 Kawika PL
Honolulu, HI 96822-5006
Phone (814) 426-7340

3909 Sierra Dr
Honolulu, HI 96816-3356
Phone (410) 933-4966

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Medstar Franklin Square Medical Center Hospital, Rosedale, MD, CCN 210015
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174
  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062
  • Medstar Montgomery Medical Center Hospital, Olney, MD, CCN 210018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP069KYMDPediatric Radiology Physician
11631HIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Imaging LLC CurrentSince Jun 16, 2017 Accepting new patients
Medstar Medical Group II LLC CurrentSince Feb 19, 2026 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Jun 1, 2012 Accepting new patients
Radiology Physicians Inc Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Apr 1, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince Feb 19, 2026 Accepting new patients
Dwight James Lin MD Inc PastSince Mar 21, 2015 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

Interoperability endpoints

  • Direct secure messaging: eyi2750374@direct.trinity-health.org

Organizations & group practices 10

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 5

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1487840872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750243",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454750243",
            "telephone_number": "937-709-5051",
            "fax_number": "937-709-5050"
        },
        {
            "country_code": "US",
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            "address_purpose": "LOCATION",
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            "postal_code": "454092722",
            "telephone_number": "937-709-5051",
            "fax_number": "937-709-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S Manning Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081707",
            "country_code": "US",
            "telephone_number": "518-525-1401",
            "fax_number": "518-525-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713 Troy Schenectady Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Latham",
            "state": "NY",
            "postal_code": "121102490",
            "country_code": "US",
            "telephone_number": "518-373-4448",
            "fax_number": "518-373-4556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Massachusetts Ave",
            "address_purpose": "LOCATION",
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            "state": "NY",
            "postal_code": "121801628",
            "country_code": "US",
            "telephone_number": "518-268-5590",
            "fax_number": "518-268-5534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
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            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-271-3482",
            "fax_number": "518-271-3419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122041004",
            "country_code": "US",
            "telephone_number": "518-471-3280",
            "fax_number": "518-471-3064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1270 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123082104",
            "country_code": "US",
            "telephone_number": "518-382-4558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "279 Troy Rd",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "NY",
            "postal_code": "121449518",
            "country_code": "US",
            "telephone_number": "518-880-6300",
            "fax_number": "518-283-4442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Empire Dr",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "NY",
            "postal_code": "121445730",
            "country_code": "US",
            "telephone_number": "518-286-4899",
            "fax_number": "518-435-0738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Tallow Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120652807",
            "country_code": "US",
            "telephone_number": "518-373-4448",
            "fax_number": "518-373-4556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Wyoming St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092722",
            "country_code": "US",
            "telephone_number": "937-709-5051",
            "fax_number": "937-709-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3909 Sierra Dr",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968163356",
            "country_code": "US",
            "telephone_number": "709-301-9461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Wyoming St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092722",
            "country_code": "US",
            "telephone_number": "937-709-5051",
            "fax_number": "937-709-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YI",
        "first_name": "EDWARD",
        "middle_name": "KWANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "11631",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01074532A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201255740",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487840872",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01102011",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487840872",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.