NPIMap

Individual provider Active NPI

Yul Ejnes, MD

  • Internal Medicine Physician
  • Cranston, RI
National Provider Identifier
1679568802
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD07587 Issued in RI
Practice address
75 Sockanosset Cross Rd
Cranston, RI 02920-5558
Phone
(401) 946-6200
Fax
(401) 275-1992
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD07587 RI Primary

Addresses

Primary practice location

75 Sockanosset Cross Rd
Cranston, RI 02920-5558

Mailing address

10 Davol SQ
Suite 400
Providence, RI 02903-4754
Phone (401) 421-4000

Other identifiers 11

IdentifierTypeStateIssuer
04-00467OtherRIUNITED HEALTH CARE
400805OtherRIBLUE CHIP
10111679OtherRIRAILROAD MEDICARE
60314OtherRIHARVARD HEALTH PLAN
709003712OtherRIMEDICARE GROUP
710065701OtherRICIGNA
7001857MedicaidRI
404470OtherRITUFTS HEALTH PLAN
20251-4OtherRIBCBS OF RI
050483739OtherRIGREAT WEST HEALTH CARE
4089OtherRINEIGHBORHOOD HEALTH PLAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yejnes191930@direct.lifespan.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20041029000099 RI Practitioner - Internal Medicine 4981666278

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Warren Alpert Medical School of Brown University, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

75 Sockanosset Cross Rd
Cranston, RI 02920-5558

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Warwick, RI, CCN 417036
  • Concord Health Services Home health agency, Cranston, RI, CCN 417049
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • Newport Hospital Hospital, Newport, RI, CCN 410006
  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD07587RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. Internal Medicine CurrentSince Apr 25, 2021 Accepting new patients
Lifespan Corporation Current Accepting new patients
Coastal Medical Physicians, Inc. Internal Medicine CurrentSince Apr 25, 2021 Accepting new patients
Coastal Medical Inc Past Accepting new patients
Coastal Medical, Inc. Past Accepting new patients

Locations

1500 Pontiac Ave
Ste 101
Cranston, RI 02920
Phone (401) 371-0223

75 Sockanosset Cross Rd
Ste 100
Cranston, RI 02920
Phone (401) 736-4500

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

Interoperability endpoints

  • Direct secure messaging: yejnes191930@brownhealth.medalliesdirect.net

Organizations & group practices 5

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 11

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1679568802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAVOL SQ",
            "address_2": "SUITE 400",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034754",
            "telephone_number": "401-421-4000",
            "fax_number": "401-272-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SOCKANOSSET CROSS RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205558",
            "telephone_number": "401-946-6200",
            "fax_number": "401-275-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJNES",
        "first_name": "YUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD07587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "04-00467",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "400805",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "10111679",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD HEALTH PLAN",
            "identifier": "60314",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "709003712",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "710065701",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001857",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "404470",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF RI",
            "identifier": "20251-4",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST HEALTH CARE",
            "identifier": "050483739",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "4089",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yejnes191930@direct.lifespan.org",
            "affiliation": "N",
            "address_1": "75 Sockanosset Cross Rd",
            "city": "Cranston",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029205558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.