Individual provider Active NPI

Dongfang Diana Yin, M.D.

  • Internal Medicine Physician
  • Wynnewood, PA
National Provider Identifier
1689692733
Registry record updated Sep 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-066380-L Issued in PA
Practice address
1445 City Line Ave
Suite 5
Wynnewood, PA 19096-3831
Phone
(215) 473-8889
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2012

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 MD-066380-L PA Primary

Addresses

Primary practice location

1445 City Line Ave
Suite 5
Wynnewood, PA 19096-3831

Mailing address

1445 City Ave Ste 5
Wynnewood, PA 19096-3831
Phone (610) 910-3889

Other identifiers 2

IdentifierTypeStateIssuer
8011800MedicaidNJ
001722584MedicaidPA

Other names 1

  • D. Diana Yin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050124000625 PA Practitioner - Internal Medicine 2567412042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1445 City Line Ave
Suite 5
Wynnewood, PA 19096-3831
Phone (215) 473-8889

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-066380-LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Accucare Medical Service Internal Medicine CurrentSince Nov 1, 2011 Accepting new patients
Jefferson University Physicians Internal Medicine Past Accepting new patients

Locations

1445 City Line Ave
Ste 5
Wynnewood, PA 19096
Phone (215) 473-8889

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348963200000",
    "number": "1689692733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 CITY AVE STE 5",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963831",
            "telephone_number": "610-910-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 CITY LINE AVE",
            "address_2": "SUITE 5",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963831",
            "telephone_number": "215-473-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIN",
        "first_name": "DONGFANG DIANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD-066380-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8011800",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001722584",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "D. DIANA",
            "last_name": "YIN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.