Individual provider Active NPI

Breton Adam Orel Yates, M.D.

  • MOHS-Micrographic Surgery Physician
  • Salt Lake City, UT
National Provider Identifier
1710242235
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
10158735-1205 Issued in UT
Practice address
1548 E 4500 S
Ste 202
Salt Lake City, UT 84117-5209
Phone
(801) 679-4600
NPI assigned
Jul 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 10158735-1205 UT Primary

Addresses

Primary practice location

1548 E 4500 S
Ste 202
Salt Lake City, UT 84117-5209

Mailing address

1548 E 4500 S
Ste 202
Salt Lake City, UT 84117-5209
Phone (801) 679-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20170606002423 UT Practitioner - Dermatology 6103145008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Utah School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woseth Dermatology, P.C.Group PAC ID 1557392313, 10 clinicians

Practice addresses (Care Compare)

1548 E 4500
Suite 202
Salt Lake City, UT 84117-5209
Phone (801) 266-8841

Merit-based Incentive Payment System (MIPS)

Final score
91.67 of 100Reported as group
Quality
96.5
Promoting interoperability
84
Improvement activities
40
Cost
89.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision45
Removal of skin lesions777
Removal of skin cancer488
Skin biopsy164

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10158735-1205UTMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woseth Dermatology, P.C. CurrentSince Jul 9, 2017 Accepting new patients

Locations

1548 E 4500 S
Ste 202
Millcreek, UT 84117
Phone (801) 266-8841

4040 W Daybreak Pkwy
Ste 200
South Jordan, UT 84009
Phone (801) 266-1474

Organizations & group practices 1

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1710242235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 E 4500 S",
            "address_2": "STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175209",
            "telephone_number": "801-679-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 E 4500 S",
            "address_2": "STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175209",
            "telephone_number": "801-679-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "BRETON",
        "middle_name": "ADAM OREL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "UT",
            "license": "10158735-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.