Active NPI
Jeffrey Paul Yanez, MD
- Internal Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- YJ055460
- Practice address
- 18610 Fenkell St
Detroit, MI 48223-2378 - Phone
- (313) 723-6000
- Fax
- (313) 424-4058
- NPI assigned
- Mar 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | YJ055460 | MI | Primary |
Addresses
Primary practice location
18610 Fenkell St
Detroit, MI 48223-2378
Mailing address
30 W Monroe St Ste 1200
Chicago, IL 60603-2420
Phone (312) 733-9730
Other practice location 1
44405 Woodward Ave
H-13
Pontiac, MI 48341-5023
Phone (248) 858-3931
Other practice location 2
1142 E 9 Mile Rd
Hazel Park, MI 48030-1901
Phone (248) 817-4742
Other practice location 3
26390 Gratiot Ave
Roseville, MI 48066-5106
Phone (586) 221-7020
Other practice location 4
462 N Telegraph Rd
Pontiac, MI 48341-1037
Phone (248) 234-7540
Other practice location 5
14507 Woodward Ave
Highland Park, MI 48203-2905
Phone (313) 723-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3071060 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| YJ055460 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh Mi Physicians Group, PC | Current | Accepting new patients | |
| Osh-Mi Physicians Group PC | Internal Medicine | Current | Accepting new patients |
| Osh-Mi Physicians Group PC | Internal Medicine | Past | Accepting new patients |
| SJMH Medical Practice-SMHC | Internal Medicine | Past | Accepting new patients |
Locations
30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758
18610 Fenkell St
Detroit, MI 48223
Phone (313) 723-6000
1142 E 9 Mile Rd
Hazel Park, MI 48030
Phone (248) 414-5770
14507 Woodward Ave
Highland Park, MI 48203
Phone (313) 306-5496
462 N Telegraph Rd
Pontiac, MI 48341
Phone (248) 234-7540
26390 Gratiot Ave
Roseville, MI 48066
Phone (586) 221-7020
Interoperability endpoints
- jyanez14039@direct.hfhs.org
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.
-
- Primary Care Clinic/Center
- Memphis, TN
- NPI 1720635790
-
- Internal Medicine Physician
- Pontiac, MI
- NPI 1346284684
-
- Family Medicine Physician
- Greensboro, NC
- NPI 1033766092
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1851360739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 W MONROE ST STE 1200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606032420",
"telephone_number": "312-733-9730",
"fax_number": "773-866-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18610 FENKELL ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482232378",
"telephone_number": "313-723-6000",
"fax_number": "313-424-4058"
}
],
"practiceLocations": [
{
"address_1": "44405 Woodward Ave",
"address_2": "H-13",
"address_purpose": "LOCATION",
"city": "Pontiac",
"state": "MI",
"postal_code": "483415023",
"country_code": "US",
"telephone_number": "248-858-3931",
"fax_number": "248-858-6499",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1142 E 9 Mile Rd",
"address_purpose": "LOCATION",
"city": "Hazel Park",
"state": "MI",
"postal_code": "480301901",
"country_code": "US",
"telephone_number": "248-817-4742",
"fax_number": "248-518-8719",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26390 Gratiot Ave",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "MI",
"postal_code": "480665106",
"country_code": "US",
"telephone_number": "586-221-7020",
"fax_number": "586-580-7485",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "462 N Telegraph Rd",
"address_purpose": "LOCATION",
"city": "Pontiac",
"state": "MI",
"postal_code": "483411037",
"country_code": "US",
"telephone_number": "248-234-7540",
"fax_number": "248-581-8716",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14507 Woodward Ave",
"address_purpose": "LOCATION",
"city": "Highland Park",
"state": "MI",
"postal_code": "482032905",
"country_code": "US",
"telephone_number": "313-723-6100",
"fax_number": "313-751-8102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANEZ",
"first_name": "JEFFREY",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "YJ055460",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3071060",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.