NPIMap

Individual provider Active NPI

Yulian Yiavlion Yestin, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Odessa, TX
National Provider Identifier
1861758641
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
316343 Issued in NY
Practice address
500 W 5TH St
Odessa, TX 79761
Phone
(937) 384-6800
Fax
(937) 384-6938
NPI assigned
Apr 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X 316343 NY Primary

Addresses

Primary practice location

500 W 5TH St
Odessa, TX 79761

Mailing address

716 Phalen Dr Apt D
Copenhagen, NY 13626-3118
Phone (099) 918-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, MS3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220901002787 NY Practitioner - Emergency MedicinePractitioner - Family Practice 0547407546 Reassigns benefits to 4 organizations
I20250117003562 TX Practitioner - Emergency Medicine 0547407546 Reassigns benefits to 4 organizations
I20260424003442 MS Practitioner - Emergency Medicine 0547407546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Loma Linda University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Emergency Group LLCGroup PAC ID 0345508768, 21 clinicians
Delphi Healthcare PLLCGroup PAC ID 9537229661, 68 clinicians

Practice addresses (Care Compare)

540 W 15TH St
Hereford, TX 79045-2820
Phone (806) 364-2141

7785 N State St
Lowville, NY 13367-1229
Phone (315) 376-5200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carthage Area Hospital, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Carthage Area Hospital Inc CurrentSince Dec 1, 2022 Accepting new patients
Concord Medical Group PLLC Multi-Specialty CurrentSince Feb 3, 2025 Accepting new patients
Claxton-Hepburn Medical Center Multi-Specialty CurrentSince Sep 19, 2022 Accepting new patients
Carthage Area Hospital Inc Multi-Specialty Current Accepting new patients
Delphi Hospitalist Services LLC Multi-Specialty CurrentSince Jul 1, 2022 Accepting new patients
Delphi Healthcare PLLC Multi-Specialty CurrentSince Jul 1, 2022 Accepting new patients
Texas Emergency Group LLC Multi-Specialty CurrentSince Jan 25, 2025 Accepting new patients
Concord Medical Group of Texas PLLC Multi-Specialty CurrentSince Nov 11, 2024 Accepting new patients

Locations

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

100 Horwood Pl
Ogdensburg, NY 13669
Phone (315) 394-0426

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141

1 Saint Marks Pl
La Grange, TX 78945
Phone (979) 242-2102

539 SE 2nd St
Tulia, TX 79088
Phone (806) 995-3581

Organizations & group practices 11

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.

Hospital & facility affiliations 7

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": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1861758641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 PHALEN DR APT D",
            "city": "COPENHAGEN",
            "state": "NY",
            "postal_code": "136263118",
            "telephone_number": "099-918-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 5TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79761",
            "telephone_number": "937-384-6800",
            "fax_number": "937-384-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YESTIN",
        "first_name": "YULIAN",
        "middle_name": "YIAVLION",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NY",
            "license": "316343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.