Individual provider Active NPI

Yushan Chang Wilson, M.D.

  • Facial Plastic Surgery Physician
  • Milford, MA
National Provider Identifier
1528116001
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
247501 Issued in MA
Practice address
308 Main St
Milford, MA 01757-2511
Phone
(508) 478-0555
Fax
(508) 473-5088
NPI assigned
Jan 8, 2007
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 247501 MA Primary
Otolaryngology Physician 207Y00000X 241778 NY

Addresses

Primary practice location

308 Main St
Milford, MA 01757-2511

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Other identifiers 1

IdentifierTypeStateIssuer
110089289MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20111017000656 MA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 4587836549 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
New York Medical College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

308 Main St
Milford, MA 01757-2511
Phone (508) 478-0555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241778NYMDOtolaryngology Physician
247501MAMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bernard J Durante MD PC CurrentSince Jan 1, 2016 Accepting new patients
Umass Memorial Health-Milford Regional Medical Center Inc Current Accepting new patients
Milford Regional Physician Group, Inc. CurrentSince Apr 25, 2022 Accepting new patients
Metrowest Ear Nose & Throat Assoc Inc CurrentSince Jan 2, 2017 Accepting new patients
Umass Memorial Medical Group Inc Otolaryngology CurrentSince Oct 1, 2025 Accepting new patients
Bernard J Durante MD PC CurrentSince Jan 1, 2016 Accepting new patients
Milford Regional Physician Group, Inc. CurrentSince Apr 25, 2022 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 1, 2025 Accepting new patients

Locations

61 Lincoln St
Ste 207
Framingham, MA 01702
Phone (508) 875-6124

1 Lumber St
Hopkinton, MA 01748
Phone (508) 435-5936

77 W Main St
Ste 205
Hopkinton, MA 01748
Phone (508) 435-8182

68A Main St
Ste 101
Medway, MA 02053
Phone (508) 533-6020

100 Medway Rd
Ste 401
Milford, MA 01757
Phone (508) 634-7338

308 Main St
Milford, MA 01757
Phone (508) 478-0555

9 Industrial Rd
Ste 5
Milford, MA 01757
Phone (508) 473-1480

30 Aldrin Rd
Plymouth, MA 02360
Phone (508) 746-8977

72 Cudworth Rd
Webster, MA 01570
Phone (508) 461-0011

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: wilson.yushan.tcma@direct.partners.masshiway.net

Organizations & group practices 8

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1528116001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 MAIN ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572511",
            "telephone_number": "508-478-0555",
            "fax_number": "508-473-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "YUSHAN",
        "middle_name": "CHANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MA",
            "license": "247501",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "241778",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110089289",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.