Individual provider Active NPI

Sunmi Yang, MD

  • Family Medicine Physician
  • Swampscott, MA
National Provider Identifier
1821448846
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T286698 Issued in MA
Practice address
250 Paradise Rd
Swampscott, MA 01907-2948
Phone
(781) 596-2000
Fax
(781) 595-7111
NPI assigned
Jun 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101266724 VA
Family Medicine Physician 207Q00000X 0116029483 VA
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X T286698 MA Primary

Addresses

Primary practice location

250 Paradise Rd
Swampscott, MA 01907-2948

Mailing address

250 Paradise Rd
Swampscott, MA 01907-2948
Phone (781) 596-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, 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
I20190823000183 TX Practitioner - Family PracticePractitioner - General Practice 8527351857 Reassigns benefits to 1 organization
I20210211001796 MA Practitioner - Family Practice 8527351857

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T286698MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS, PHS, Naihs, Shiprock Hospital Single Specialty CurrentSince Apr 30, 2020 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital Single Specialty CurrentSince Apr 30, 2020 Accepting new patients
Front Royal Family Practice, P.C. Single Specialty Past Accepting new patients
Sentara RMH Medical Center Single Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: yang.sunmi.nsmc@direct.partners.masshiway.net

Organizations & group practices 4

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1821448846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PARADISE RD",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072948",
            "telephone_number": "781-596-2000",
            "fax_number": "781-595-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PARADISE RD",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072948",
            "telephone_number": "781-596-2000",
            "fax_number": "781-595-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "SUNMI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101266724",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116029483",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "T286698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swampscott, MA

Sources for this page

Verify at the official NPI Registry.