Active NPI
Yohannes W. Yesus, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Jeffersonville, IN
National Provider Identifier
1679665749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 01051747
- Practice address
- 1220 Missouri Ave
Pathology Dept
Jeffersonville, IN 47130-3725 - Phone
- (812) 283-2169
- Fax
- (502) 456-4440
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 36204 | KY | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 01051747 | IN | Primary |
Addresses
Primary practice location
1220 Missouri Ave
Pathology Dept
Jeffersonville, IN 47130-3725
Mailing address
1169 Eastern Pkwy
Suite G71
Louisville, KY 40217-1417
Phone (502) 456-6212
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64021199 | Medicaid | KY | |
| 200268960A | Medicaid | IN | |
| 3471714000 | Other | KY | PASSPORT ADVANTAGE |
| P00430453 | Other | IN | MEDICARE RR |
| 50022834 | Other | KY | PASSPORT |
| 000000528992 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.24 of 100
- Quality
- 73.72
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01051747 | IN | MD | Anatomic Pathology & Clinical Pathology Physician |
| 36204 | KY | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Pathgroup Labs, LLC | Past | Accepting new patients | |
| Associated Pathologists LLC | Past | Accepting new patients | |
| East Louisville Pathologists PSC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1124075635
-
- Anatomic Pathology & Clinical Pathology Physician
- Louisville, KY
- NPI 1982630158
-
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1235186800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1679665749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1169 EASTERN PKWY",
"address_2": "SUITE G71",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171417",
"telephone_number": "502-456-6212",
"fax_number": "502-456-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 MISSOURI AVE",
"address_2": "PATHOLOGY DEPT",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303725",
"telephone_number": "812-283-2169",
"fax_number": "502-456-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YESUS",
"first_name": "YOHANNES",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KY",
"license": "36204",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IN",
"license": "01051747",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64021199",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200268960A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "3471714000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00430453",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50022834",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000528992",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.