Individual provider Active NPI

Michelle Jaeim Yoon, MD

  • Otolaryngology Physician
  • Milton, MA
National Provider Identifier
1730201625
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
15011 Issued in NH
Practice address
100 Highland St Ste 221
Milton, MA 02186-3876
Phone
(617) 632-7500
Fax
(617) 632-7522
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 15011 NH Primary

Addresses

Primary practice location

100 Highland St Ste 221
Milton, MA 02186-3876

Mailing address

100 Highland St Ste 221
Milton, MA 02186-3876
Phone (617) 632-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131205000309 NY Practitioner - Otolaryngology 3072694397 Reassigns benefits to 1 organization
I20231102003331 MA Practitioner - OphthalmologyPractitioner - Otolaryngology 3072694397 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Physicians of Harvard Medical Faculty Physicians at Beth IsGroup PAC ID 6305749987, shared by 7 NPIs, 566 clinicians

Practice addresses (Care Compare)

100 Highland St
Milton, MA 02186-3881
Phone (617) 313-1440

101 Page St
New Bedford, MA 02740-3464
Phone (781) 983-9088

145 Rosemary St
Needham, MA 02494-3259

199 Reedsdale Rd
Milton, MA 02186-3926

330 Brookline Ave
Boston, MA 02215-5400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42266TNMDPharmacist
15011NHMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Sep 1, 2020 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Otolaryngology CurrentSince Sep 1, 2023 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Sep 1, 2020 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Jan 1, 2024 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Current Accepting new patients
Albany Medical College CurrentSince Sep 1, 2020 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Sep 1, 2023 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Jan 1, 2024 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Past Accepting new patients

Locations

100 Highland St
Ste 221
Milton, MA 02186
Phone (617) 632-7500

145 Rosemary St
Ste B
Needham Heights, MA 02494
Phone (781) 433-2110

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

247 Station Dr
Ste NW1
Westwood, MA 02090
Phone (617) 754-1015

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791

50 New Scotland Ave
Albany, NY 12208
Phone (518) 262-0940

6 Executive Park Dr
Stuyvesant Plaza, NY 12203
Phone (518) 482-9111

Interoperability endpoints

  • Direct secure messaging: myoon253467@direct.bilh.masshiway.net

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1730201625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND ST STE 221",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863876",
            "telephone_number": "617-632-7500",
            "fax_number": "617-632-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND ST STE 221",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863876",
            "telephone_number": "617-632-7500",
            "fax_number": "617-632-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "MICHELLE",
        "middle_name": "JAEIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NH",
            "license": "15011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

Verify at the official NPI Registry.