Individual provider Active NPI

Yijun Yan, MD

  • Neurology Physician
  • Greensboro, NC
National Provider Identifier
1508056680
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2006-0900 Issued in NC
Practice address
912 Third Street
Suite 101
Greensboro, NC 27405-6967
Phone
(336) 273-2511
Fax
(336) 370-0287
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2006-0900 NC Primary
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician 2084D0003X 2006-0900 NC

Addresses

Primary practice location

912 Third Street
Suite 101
Greensboro, NC 27405-6967

Mailing address

PO Box 29568
Greensboro, NC 27429-9568
Phone (336) 273-2511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yyan4610@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20090522000041 NC Practitioner - Neurology 3173611084 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moses Cone Affiliated Physicians, Inc.Group PAC ID 3779635396, 80 clinicians

Practice addresses (Care Compare)

912 3Rd St
Suite 101
Greensboro, NC 27405-6967
Phone (336) 273-2511

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006-0900NCMDDiagnostic Neuroimaging (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Affiliated Physicians, Inc. CurrentSince Mar 10, 2013 Accepting new patients
Moses Cone Affiliated Physicians, Inc Neurology Current Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Sep 28, 2011 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Jan 1, 2012 Accepting new patients
Moses Cone Affiliated Physicians, Inc. Diagnostic Neuroimaging CurrentSince Mar 10, 2013 Accepting new patients
Moses Cone Physician Services, Inc. Current Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Sep 28, 2011 Accepting new patients
Moses Cone Physician Services, Inc Neurology CurrentSince Jan 1, 2012 Accepting new patients
Guilford Neurologic Associates, Inc. Past Accepting new patients

Locations

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

912 3rd St
#101
Greensboro, NC 27405
Phone (336) 273-2511

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100

Interoperability endpoints

  • Direct secure messaging: yyan4610@direct.conehealth.com

Organizations & group practices 9

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 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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1508056680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29568",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274299568",
            "telephone_number": "336-273-2511",
            "fax_number": "336-370-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 THIRD STREET",
            "address_2": "SUITE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056967",
            "telephone_number": "336-273-2511",
            "fax_number": "336-370-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAN",
        "first_name": "YIJUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2006-0900",
            "primary": true
        },
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "NC",
            "license": "2006-0900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yyan4610@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "912 Third Street",
            "address_2": "Suite 101",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274056967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.