Active NPI
Andrew Yuan, D.O.
- Physical Medicine & Rehabilitation Physician
- Fairfield, CT
National Provider Identifier
1689787368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 000314
- Practice address
- 1735 Post Rd
Suite # 7
Fairfield, CT 06824-5782 - Phone
- (203) 256-4733
- Fax
- (203) 256-4736
- NPI assigned
- Aug 16, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 000314 | CT | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 183476-1 | NY | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 34 . 005275 | OH |
Addresses
Primary practice location
1735 Post Rd
Suite # 7
Fairfield, CT 06824-5782
Mailing address
1735 Post Road
Suite # 7
Fairfield, CT 06824
Phone (203) 256-4733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040000314CT02 | Other | CT | ANTHEM BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060911000045 | CT | Practitioner - Physical Medicine and Rehabilitation | 4789688565 | Practice locations: Fairfield, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Ohio University, College of Osteopathic Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1735 Post Rd
Suite 7
Fairfield, CT 06824-5700
Phone (203) 256-4733
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000314 | CT | MD | Professional Counselor |
| 183476-1 | NY | MD | Physical Medicine & Rehabilitation Physician |
| 34 . 005275 | OH | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew Yuan DO LLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Gaylord Hospital, Inc. | Past | Accepting new patients | |
| Health in Motion, LLC | Past | Accepting new patients |
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.
-
- Physical Medicine & Rehabilitation Physician
- Fairfield, CT
- NPI 1255720272
-
- Long Term Care Hospital
- Wallingford, CT
- NPI 1730137753
-
- Physical Therapy Clinic/Center
- Southport, CT
- NPI 1669907432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1689787368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 POST ROAD",
"address_2": "SUITE # 7",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "06824",
"telephone_number": "203-256-4733",
"fax_number": "203-256-4736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 POST RD",
"address_2": "SUITE # 7",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068245782",
"telephone_number": "203-256-4733",
"fax_number": "203-256-4736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUAN",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CT",
"license": "000314",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "183476-1",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "34 . 005275",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "040000314CT02",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.