NPIMap

Individual provider Active NPI

Gregory J Yanish, MD

  • Surgery Physician
  • Clive, IA
National Provider Identifier
1497809859
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5315021056 Issued in MI
Practice address
12499 University Ave
Ste. 210
Clive, IA 50325-8288
Phone
(515) 440-2676
Fax
(515) 440-2677
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5315021056 MI Primary

Addresses

Primary practice location

12499 University Ave
Ste. 210
Clive, IA 50325-8288

Mailing address

12499 University Ave
Ste. 210
Clive, IA 50325-8288
Phone (515) 440-2676

Other identifiers 1

IdentifierTypeStateIssuer
4982685MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080522000124 IA Practitioner - Orthopedic SurgeryPractitioner - General SurgeryPractitioner - Hand Surgery 6103868229 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: General Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Orthopaedics and Sports Medicine PCGroup PAC ID 3476691551, 19 clinicians

Practice addresses (Care Compare)

12499 University Ave
Suite 210
Clive, IA 50325-8288
Phone (515) 440-2676

1345 SW Park Square Dr
Suite 200
Ankeny, IA 50023-2687
Phone (515) 440-2676

2006 N 4TH St
Suite 300
Indianola, IA 50125-4500
Phone (515) 440-2676

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)15
Upper limb (arm) arthroscopy (minimally invasive joint repair)58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5315021056MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Community Hospital Inc Current Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients
Capital Orthopaedics and Sports Medicine PC CurrentSince Jan 1, 2010 Accepting new patients
Knoxville Community Hospital Inc Surgery CurrentSince Apr 30, 2025 Accepting new patients
Capital Orthopaedics and Sports Medicine LLP Past Accepting new patients

Locations

12499 University Ave
Ste 210
Des Moines, IA 50325
Phone (515) 240-2676

1202 W Howard St
Knoxville, IA 50138
Phone (641) 828-7144

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

610 10th St
Perry, IA 50220
Phone (515) 465-3547

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19659/brand/1/csg/1/fhir/r4
  • Direct secure messaging: gregory.yanish.1@19659.direct.athenahealth.com

Organizations & group practices 6

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 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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1497809859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12499 UNIVERSITY AVE",
            "address_2": "STE. 210",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258288",
            "telephone_number": "515-440-2676",
            "fax_number": "515-440-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12499 UNIVERSITY AVE",
            "address_2": "STE. 210",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258288",
            "telephone_number": "515-440-2676",
            "fax_number": "515-440-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANISH",
        "first_name": "GREGORY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5315021056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4982685",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.