Active NPI
Grant Michael Shigeru Yonemoto, DPM
- Foot & Ankle Surgery Podiatrist
- New Haven, CT
National Provider Identifier
1659908168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E5960
- Practice address
- 20 York St
New Haven, CT 06510-3220 - Phone
- (203) 789-3443
- NPI assigned
- Mar 25, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E5960 | CA | Primary |
Addresses
Primary practice location
20 York St
New Haven, CT 06510-3220
Mailing address
176 Middlesex Rd
Darien, CT 06820-3325
Phone (808) 348-5746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3320 N Buffalo Dr
Suite 107
Las Vegas, NV 89129-7410
Phone (702) 256-8454
9260 W Sunset Rd
Suite 200
Las Vegas, NV 89148-4903
Phone (702) 963-1234
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.65 of 100
- Quality
- 68.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 73 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 95 |
| Removal or shaving of skin growth | 56 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1065 | CT | MD | Optometrist |
| E5960 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 2114 | NV | MD | Physical Therapist |
| 5960 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun City Foot Care | Single Specialty | Current | Accepting new patients |
| Las Vegas Concierge Orthopedics PLLC | Single Specialty | Current | Accepting new patients |
Locations
3320 N Buffalo Dr
Ste 107
Las Vegas, NV 89129
Phone (702) 256-8454
9260 W Sunset Rd
Ste 200
Las Vegas, NV 89148
Phone (702) 963-1231
Interoperability endpoints
- gyonemoto675991@hisp.ehr.sutterhealth.org
- grant.yonemoto.1@20181.direct.athenahealth.com
- grant.yonemoto@xdr.hhchealthdirect.org
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Las Vegas, NV
- NPI 1750951448
Single Specialty
-
dba Summerlin Foot & Ankle
- Foot & Ankle Surgery Podiatrist
- Las Vegas, NV
- NPI 1710001961
Single Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba ER at Valley Vista
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1295319085
Hospital
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
-
dba ER at West Craig Road
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1942991245
Hospital
-
dba Mountainview Hospital
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1104870187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710547200000",
"number": "1659908168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 MIDDLESEX RD",
"city": "DARIEN",
"state": "CT",
"postal_code": "068203325",
"telephone_number": "808-348-5746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-789-3443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YONEMOTO",
"first_name": "GRANT",
"middle_name": "MICHAEL SHIGERU",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-25",
"last_updated": "2024-03-16",
"certification_date": "2024-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E5960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.