Active NPI
Aleksandr V. Yultyev, M.D.
- Internal Medicine Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME133969
- Practice address
- 375 Dixmyth Ave
Cincinnati, OH 45220-2475 - Phone
- (513) 862-3229
- NPI assigned
- Mar 21, 2013
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DR.0057177 | CO | |
| Internal Medicine Physician | 207R00000X | ME133969 | FL | Primary |
Addresses
Primary practice location
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Mailing address
5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (877) 832-2652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone (954) 344-3000
Hospital & facility affiliations
- Trust USA Home Health LLC
- Broward Health Coral Springs
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.99 of 100
- Quality
- 82.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coral Springs Physician Services, LLC | Current | Accepting new patients | |
| Fort Lauderdale Physician Services, LLC | Current | Accepting new patients | |
| HHA Associates LLC | Current | Accepting new patients |
Locations
6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000
7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
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.
-
- Hospitalist Physician
- Coral Springs, FL
- NPI 1134673767
-
- Hospitalist Physician
- Fort Lauderdale, FL
- NPI 1497209027
-
- Hospitalist Physician
- Miami, FL
- NPI 1265073159
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coral Springs, FL
- NPI 1174551147
-
- Home Health Agency
- Plantation, FL
- NPI 1679717698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1700128394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 S CONGRESS AVE",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334621149",
"telephone_number": "877-832-2652",
"fax_number": "800-792-9021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 DIXMYTH AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202475",
"telephone_number": "513-862-3229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YULTYEV",
"first_name": "ALEKSANDR",
"middle_name": "V.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-21",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "DR.0057177",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME133969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.