Individual provider Active NPI

Michael J Yablonsky, M.D.

  • MOHS-Micrographic Surgery Physician
  • Providence, RI
National Provider Identifier
1811960503
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD20143 Issued in RI
Practice address
593 Eddy St Apc-10
Providence, RI 02903-4923
Phone
(401) 444-6779
Fax
(401) 444-6912
NPI assigned
Feb 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X MD20143 RI Primary
Dermatology Physician 207N00000X 239330 MA

Addresses

Primary practice location

593 Eddy St Apc-10
Providence, RI 02903-4923

Mailing address

15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779

Other practice location 1

65 Village Square Dr Ste 201
South Kingstown, RI 02879-2569
Phone (401) 444-7024

Other practice location 2

400 Bald Hill Rd
Warwick, RI 02886-1617
Phone (401) 444-7024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CA, MD, DC, ME, RI, MA7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20120615000240 VA Practitioner - Dermatology 6002829108 Reassigns benefits to 1 organization
I20150211000702 CA Practitioner - Dermatology 6002829108 Reassigns benefits to 1 organization
I20210504000142 MD Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 6002829108 Reassigns benefits to 1 organization
I20210507000209 DC Practitioner - Dermatology 6002829108 Reassigns benefits to 1 organization
I20240214001447 ME Practitioner - Dermatology 6002829108 Reassigns benefits to 1 organization
I20241111001938 RI Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 6002829108 Reassigns benefits to 3 organizations
I20250724000663 MA Practitioner - Dermatology 6002829108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Virginia School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nantucket Dermatology LLCGroup PAC ID 7719147917, 7 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians
Rhode Island HospitalGroup PAC ID 8921900044, 430 clinicians
Brown Dermatology IncGroup PAC ID 3870872773, 28 clinicians
Derm Associates LLCGroup PAC ID 4688653306, 44 clinicians

Practice addresses (Care Compare)

4 /2 Bartlett Rd
Nantucket, MA 02554-4381
Phone (781) 398-2225

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-7959

65 Village Square Dr
Suite 201
South Kingstown, RI 02879-2292
Phone (401) 515-7979

6550 Mercantile Dr E
Suite 203
Frederick, MD 21703-7657
Phone (240) 422-8859

8316 Arlington Blvd
Fairfax, VA 22031-5216
Phone (703) 641-0083

Hospital & facility affiliations

  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision90
Removal of skin lesions129
Removal of skin cancer331
Removal or shaving of skin growth1-10
Skin biopsy93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Nantucket Dermatology, LLC Dermatology CurrentSince Jul 1, 2025 Accepting new patients
Howard Milstein M D a Medical Corp CurrentSince Jul 1, 2019 Accepting new patients
Derm Associates LLC Dermatology CurrentSince May 1, 2021 Accepting new patients
Rhode Island Hospital CurrentSince Jan 1, 2025 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Rhode Island Hospital CurrentSince Jan 1, 2025 Accepting new patients
Brown Dermatology, Inc. Dermatology CurrentSince Jan 1, 2025 Accepting new patients
Elizabeth Mitchell Dugan MD LLC Past Accepting new patients
Rhode Island Hospital Past Accepting new patients
Annapolis Dermatology Center, PA Dermatology PastSince Jan 11, 1999 Accepting new patients
Virginia Dermatology Skin Cancer Center Suffolk Past Accepting new patients
Virginia Dermatology & Skin Cancer Center PLLC Past Accepting new patients

Locations

7334 Girard Ave
Ste 201
La Jolla, CA 92037
Phone (619) 454-8811

5 Federal St
Unit 1881
Nantucket, MA 02554

4 Bartlett Rd
Nantucket, MA 02554
Phone (508) 325-4777

71 Old Mill Bottom Rd N
Ste 300
Annapolis, MD 21409
Phone (301) 681-7000

6550 Mercantile Dr E
Ste 203
Frederick, MD 21703
Phone (240) 422-8859

10313 Georgia Ave
Ste 309
Silver Spring, MD 20902
Phone (301) 681-4368

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

110 Elm St
Fl 3
Providence, RI 02903

593 Eddy St
#10
Providence, RI 02903
Phone (401) 444-7024

593 Eddy St
Providence, RI 02903

15 La Salle Sq
Providence, RI 02903

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

65 Village Square Dr
Ste 201
South Kingstown, RI 02879
Phone (401) 515-7979

400 Bald Hill Rd
Warwick, RI 02886
Phone (401) 352-0005

13880 Braddock Rd
Ste 301
Centreville, VA 20121
Phone (703) 222-2273

8316 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (703) 205-1919

21495 Ridgetop Cir
Ste 105
Sterling, VA 20166
Phone (214) 420-0650

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCEBBD

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1139616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1811960503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LA SALLE SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031814",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST APC-10",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Village Square Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "South Kingstown",
            "state": "RI",
            "postal_code": "028792569",
            "country_code": "US",
            "telephone_number": "401-444-7024",
            "fax_number": "401-515-7910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Bald Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028861617",
            "country_code": "US",
            "telephone_number": "401-444-7024",
            "fax_number": "401-738-3857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YABLONSKY",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-11",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "RI",
            "license": "MD20143",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "239330",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.