Yanli Fan, M.D., PH.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

254594 Issued in MA

Practice address

1044 Belmont Avenue
Department of Medical Education
Youngstown, OH 44501-1006

Phone

(617) 223-7806

NPI assigned

Sep 13, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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 1

Specialty

Internal Medicine

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lowell General Inpatient Specialists PLLCGroup PAC ID 8729371380, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lowell General Hospital Hospital, Lowell, MA, CCN 220063

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yfan31786@tuftsmedicine.direct-ci.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/

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.

• Lowell General Inpatient Specialists PLLC

  • Internal Medicine Physician
  • Lowell, MA
  • NPI 1649626391
  Medicare reassignment Care Compare group NPD
• The Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1407804669
  NPD (past)

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

• The Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1407804669
  Care Compare affiliation

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1831406727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVENUE",
            "address_2": "DEPARTMENT OF MEDICAL EDUCATION",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445011006",
            "telephone_number": "617-223-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVENUE",
            "address_2": "DEPARTMENT OF MEDICAL EDUCATION",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445011006",
            "telephone_number": "617-223-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "YANLI",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "254594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family First Adult Day Services Inc
• Family First Residential Care Facilities
• Family First Senior Care LLC
• Family First Supports and Consulting, LLC
• Family Nurse Care of Ohio, LLC
• Amanda Fanning
• Keonia Fant
• Samara Danielle Fant
• Vivian Fantauzzi, MSW
• Paul Fantauzzo, D.O.

• Internal Medicine Physician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.

Verify at the official NPI Registry.