Individual provider Active NPI

Dean Yimlamai, M.D., PH.D.

  • Pediatric Gastroenterology Physician
  • New Haven, CT
National Provider Identifier
1750548848
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
66386 Issued in CT
Practice address
333 Cedar St # 4093
New Haven, CT 06510-3206
Phone
(203) 737-4218
Fax
(203) 737-1384
NPI assigned
May 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 1.066386 CT
Pediatric Gastroenterology Physician 2080P0206X MD460608 PA
Pediatric Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0206X 66386 CT Primary

Addresses

Primary practice location

333 Cedar St # 4093
New Haven, CT 06510-3206

Mailing address

333 Cedar St # 4093
New Haven, CT 06510-3206
Phone (203) 737-4218

Other practice location 1

1 Childrens Hospital Dr
Pittsburgh, PA 15224-1529
Phone (412) 692-5180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CT2 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
I20170906000197 PA Practitioner - Pediatric MedicinePractitioner - Gastroenterology 3678711454 Reassigns benefits to 1 organization
I20201124001384 CT Practitioner - Pediatric Medicine 3678711454 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1.066386CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Oct 22, 2020 Accepting new patients
Yale University Multi-Specialty CurrentSince Oct 22, 2020 Accepting new patients
University of Pittsburgh Physicians Multi-Specialty Current Accepting new patients
University of Pittsburgh Physicians Multi-Specialty CurrentSince Jul 4, 2017 Accepting new patients
University of Pittsburgh Physicians Multi-Specialty CurrentSince Jul 4, 2017 Accepting new patients

Locations

333 Cedar St
#4093
New Haven, CT 06510
Phone (203) 737-4218

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

1 Park St
North Haven, CT 06504
Phone (203) 785-4643

519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121

Interoperability endpoints

  • Direct secure messaging: dyimlamai487837@direct.ynhh.org

Organizations & group practices 5

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": "1211068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1750548848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST # 4093",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103206",
            "telephone_number": "203-737-4218",
            "fax_number": "203-737-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST # 4093",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103206",
            "telephone_number": "203-737-4218",
            "fax_number": "203-737-1384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Childrens Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152241529",
            "country_code": "US",
            "telephone_number": "412-692-5180",
            "fax_number": "412-693-8906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YIMLAMAI",
        "first_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "1.066386",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "PA",
            "license": "MD460608",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CT",
            "license": "66386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.