Individual provider Active NPI

Weisi Yan, M.D.

  • Radiation Oncology Physician
  • Lexington, KY
National Provider Identifier
1649405028
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
54791 Issued in KY
Practice address
800 Rose St Ste C114D
Lexington, KY 40536-8426
Phone
(859) 257-7618
Fax
(859) 257-4060
NPI assigned
May 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 2628841 NY
Radiation Oncology Physician 2085R0001X U3134 TX
Radiation Oncology Physician 2085R0001X MD464262 PA
Radiation Oncology Physician 2085R0001X 32717 AL
Radiation Oncology Physician 2085R0001X 54791 KY Primary

Addresses

Primary practice location

800 Rose St Ste C114D
Lexington, KY 40536-8426

Mailing address

501 S 54TH St
Ste 186
Philadelphia, PA 19143-1900
Phone (215) 748-9360

Other practice location 1

1660 Spring Hill Ave
Mobile, AL 36604-1405
Phone (251) 665-8000

Other practice location 2

1 Trillium Way
Corbin, KY 40701-8426
Phone (606) 526-4770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, KY, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160808001367 AL Practitioner - Radiation Oncology 1658596721 Reassigns benefits to 1 organization
I20210112002067 KY Practitioner - Radiation Oncology 1658596721 Reassigns benefits to 3 organizations
I20240110004483 MI Practitioner - Radiation Oncology 1658596721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

800 Rose St
Lexington, KY 40536-0001
Phone (859) 323-5000

Hospital & facility affiliations

  • University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262884NYMDLicensed Practical Nurse
32717ALMDRadiation Oncology Physician
54791KYMDRadiation Oncology Physician
2628841NYMDRadiation Oncology Physician
MD464262PAMDRadiation Oncology Physician
U3134TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Dec 17, 2020 Accepting new patients
University of South Alabama Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 17, 2020 Accepting new patients
University of South Alabama CurrentSince Jul 11, 2016 Accepting new patients
Dickinson County Healthcare System CurrentSince Jan 8, 2024 Accepting new patients
Kentucky Medical Services Foundation, Inc Radiation Oncology CurrentSince Oct 30, 2023 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
University of Kentucky CurrentSince Oct 30, 2023 Accepting new patients

Locations

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

800 Rose St
Ste C114D
Lexington, KY 40536
Phone (859) 257-7618

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

Interoperability endpoints

  • Direct secure messaging: wyan315711@ukhcdirect.org

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 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": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1649405028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S 54TH ST",
            "address_2": "STE 186",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431900",
            "telephone_number": "215-748-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST STE C114D",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405368426",
            "telephone_number": "859-257-7618",
            "fax_number": "859-257-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 Spring Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366041405",
            "country_code": "US",
            "telephone_number": "251-665-8000",
            "fax_number": "251-665-8010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Trillium Way",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407018426",
            "country_code": "US",
            "telephone_number": "606-526-4770",
            "fax_number": "606-526-4771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAN",
        "first_name": "WEISI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "2628841",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "U3134",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD464262",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AL",
            "license": "32717",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KY",
            "license": "54791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.