Yanxi Jiang-Nast

Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Bridgeport, CT

NPI 1649899170 · NPPES record last updated Apr 30, 2026

Key facts

NPI
1649899170
Entity type
Individual (NPI type 1)
Primary specialty
Critical Care Medicine (Internal Medicine) Physician 207RC0200X
License
84007 (CT)
Practice address
2800 Main St
Bridgeport, CT 06606-4201
Phone
(203) 576-6000
NPI assigned
Apr 14, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Critical Care (Intensivists)
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1290 Silas Deane Hwy
Wethersfield, CT 06109

49 Somerset LN
Stamford, CT 06903-4914

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100 (group)
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NY, CT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20231102002556 NY Practitioner - Internal Medicine 8527414101 Reassigns benefits to 1 organization
I20260522002088 CT Practitioner - Critical Care (Intensivists) 8527414101 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
324826NYMDLicensed Practical Nurse
84007CTMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Critical Care Medicine Current
since Sep 11, 2023
Accepting new patients
Montefiore Medical Center Current
since Sep 11, 2023
Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 84007 CT Yes
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2800 Main St
Bridgeport, CT 06606-4201

Mailing address

49 Somerset LN
Stamford, CT 06903-4914
Phone (631) 949-9006

Other providers in Bridgeport, CT

All providers in Bridgeport, CT · Critical Care Medicine (Internal Medicine) Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.