NPIMap

Individual provider Active NPI

Hiroshi Yamasaki, MD

  • Cardiovascular Disease Physician
  • Roseville, MI
National Provider Identifier
1538161187
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301066050 Issued in MI
Practice address
25195 Kelly Rd
Suite a
Roseville, MI 48066-4909
Phone
(586) 775-4594
Fax
(586) 775-4506
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301066050 MI Primary
Interventional Cardiology Physician 207RI0011X 4301066050 MI
Vascular-Interventional Technology Radiologic Technologist 2471V0106X 4301066050 MI

Addresses

Primary practice location

25195 Kelly Rd
Suite a
Roseville, MI 48066-4909

Mailing address

25195 Kelly Rd
Suite a
Roseville, MI 48066-4909
Phone (586) 775-4594

Other identifiers 3

IdentifierTypeStateIssuer
060 500 8831OtherMIBLUE CROSS BLUE SHEILD
4129307MedicaidMI
OH-26467011OtherMIMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080508000753 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1658450143 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 573-5000

25195 Kelly Rd
Suite a
Roseville, MI 48066-5084
Phone (586) 775-4594

27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone (248) 967-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301066050MIMDVascular-Interventional Technology Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Mar 20, 2015 Accepting new patients
Henry Ford Semi Medical Group Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Mar 20, 2015 Accepting new patients
Henry Ford Semi Medical Group Cardiovascular Disease CurrentSince Jun 6, 2017 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Jun 6, 2017 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
St. John Hospital Past Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

22101 Moross Rd
Ste 280
Detroit, MI 48236

17900 23 Mile Rd
Ste 404
Macomb, MI 48044
Phone (586) 286-7800

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

25195 Kelly Rd
Ste A
Roseville, MI 48066
Phone (586) 775-4594

37771 Schoenherr Rd
Ste 104
Sterling Hts, MI 48312
Phone (810) 286-0050

30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848

28000 Dequindre Rd
Warren, MI 48092
Phone (586) 743-0944

Interoperability endpoints

  • Direct secure messaging: hyamasaki58494@direct.hfhs.org
  • Direct secure messaging: hiroshi.yamasaki.2@8209.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1538161187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25195 KELLY RD",
            "address_2": "SUITE A",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664909",
            "telephone_number": "586-775-4594",
            "fax_number": "586-775-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25195 KELLY RD",
            "address_2": "SUITE A",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664909",
            "telephone_number": "586-775-4594",
            "fax_number": "586-775-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMASAKI",
        "first_name": "HIROSHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301066050",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301066050",
            "primary": false
        },
        {
            "code": "2471V0106X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular-Interventional Technology",
            "state": "MI",
            "license": "4301066050",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "060 500 8831",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4129307",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "OH-26467011",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.