Active NPI
Jin Yuan, M.D.
- Pulmonary Disease Physician
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 279274
- Practice address
- 110 Liberty St
Brockton, MA 02301 - Phone
- (508) 894-0400
- Fax
- (508) 941-6461
- NPI assigned
- Jun 17, 2015
- 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 | 263614 | MA | |
| Pulmonary Disease Physician | 207RP1001X | 279274 | MA | Primary |
Addresses
Primary practice location
110 Liberty St
Brockton, MA 02301
Mailing address
110 Liberty St
Brockton, MA 02301-5674
Phone (508) 894-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- Pulmonary Disease
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Liberty St
Brockton, MA 02301-5521
Phone (508) 894-0400
55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263614 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Massachusetts Inc | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Massachusetts, Inc | Internal Medicine | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Sound Physicians of Massachusetts Inc | Internal Medicine | Current | Accepting new patients |
| Coastal Medical Associates | Current | Accepting new patients | |
| Lahey Clinic, Inc. | Internal Medicine | Current | Accepting new patients |
| Signature Healthcare Medical Group Inc | Internal Medicine | Current | Accepting new patients |
Locations
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
1 Pearl St
Ste 1400
Brockton, MA 02301
Phone (508) 897-6030
110 Liberty St
Brockton, MA 02301
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
9 Galen St
Ste 155
Watertown, MA 02472
Phone (857) 304-2444
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
Interoperability endpoints
- jin.yuan@direct.signature.masshiway.net
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1932175684
-
dba Signature Medical
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
-
dba Sound Physicians
- Internal Medicine Physician
- Brockton, MA
- NPI 1740678408
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
dba Sound Physicians
- Internal Medicine Physician
- North Adams, MA
- NPI 1205164951
-
- Internal Medicine Physician
- Stoughton, MA
- NPI 1245784446
-
- Specialist
- Brighton, MA
- NPI 1356654495
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Signature Healthcare Brockton Hospital
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1710368493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LIBERTY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015674",
"telephone_number": "508-894-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LIBERTY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02301",
"telephone_number": "508-894-0400",
"fax_number": "508-941-6461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUAN",
"first_name": "JIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-17",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "263614",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "279274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.