Individual provider Active NPI

Yasmin M Elshenawy, M.D

  • Cytopathology Physician
  • Johnson City, TN
National Provider Identifier
1609031608
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
License
MD000049476 Issued in TN
Practice address
2400 Susannah St Ste a
Johnson City, TN 37601
Phone
(423) 283-4734
Fax
(423) 283-4736
NPI assigned
Jul 20, 2008
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X MD000049476 TN Primary

Addresses

Primary practice location

2400 Susannah St Ste a
Johnson City, TN 37601

Mailing address

2400 Susannah St Ste a
Johnson City, TN 37601-1730
Phone (423) 283-4734

Other identifiers 1

IdentifierTypeStateIssuer
Q001467MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20130528000232 TN Practitioner - Pathology 8921246299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outpatient Cytopathology CenterGroup PAC ID 3577591650, 2 clinicians

Practice addresses (Care Compare)

2400 Susannah St
Suite a
Johnson City, TN 37601-1730
Phone (423) 283-4734

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD000049476TNMDCytopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient Cytopathology Center Cytopathology CurrentSince Jul 3, 2013 Accepting new patients

Locations

2400 Susannah St
Ste A
Johnson City, TN 37601
Phone (423) 283-4734

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: yelshenawy@occ-tn.direct.office.nextgen.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1609031608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SUSANNAH ST STE A",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011730",
            "telephone_number": "423-283-4734",
            "fax_number": "423-283-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SUSANNAH ST STE A",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37601",
            "telephone_number": "423-283-4734",
            "fax_number": "423-283-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSHENAWY",
        "first_name": "YASMIN",
        "middle_name": "M",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "TN",
            "license": "MD000049476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q001467",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.