Active NPI
Michael J Yablonsky, M.D.
- MOHS-Micrographic Surgery Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- MD20143
- 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
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 |
|---|---|---|---|---|
| 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, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
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
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
- Beth Israel Deaconess Medical Center
- The Miriam Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 90 |
| Removal of skin lesions | 129 |
| Removal of skin cancer | 331 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 93 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Nantucket Dermatology, LLC | Dermatology | Current | Accepting new patients |
| Howard Milstein M D a Medical Corp | Current | Accepting new patients | |
| Derm Associates LLC | Dermatology | Current | Accepting new patients |
| Rhode Island Hospital | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients | |
| Brown Dermatology, Inc. | Dermatology | Current | Accepting new patients |
| Elizabeth Mitchell Dugan MD LLC | Past | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients | |
| Annapolis Dermatology Center, PA | Dermatology | Past | 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
- 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.
-
- Dermatology Physician
- Providence, RI
- NPI 1730538026
-
- Hematology & Oncology Physician
- Providence, RI
- NPI 1396849782
-
- Dermatology Physician
- Nantucket, MA
- NPI 1689944811
-
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Specialist
- La Jolla, CA
- NPI 1336267293
-
- Colon & Rectal Surgery Physician
- Waterville, ME
- NPI 1821386343
-
- General Practice Physician
- Riverside, RI
- NPI 1215899869
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- Dermatology Physician
- Annapolis, MD
- NPI 1700995974
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.