Individual provider Active NPI

Kevin Weide Yan

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1861952921
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
V3144 Issued in TX
Practice address
3459 Binkley Ave
Dallas, TX 75205-2229
Phone
(800) 841-4236
NPI assigned
Mar 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X V3144 TX Primary

Addresses

Primary practice location

3459 Binkley Ave
Dallas, TX 75205-2229

Mailing address

1500 S Main St
Fort Worth, TX 76104-4917

Other practice location 1

1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-1244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20250710003709 TX Practitioner - Diagnostic Radiology 4183138076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3459 Binkley Ave
Dallas, TX 75205-2229
Phone (800) 841-4236

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Radiology Consultants PLLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Btdi JV LLP CurrentSince Sep 1, 2025 Accepting new patients
Btdi JV LLP CurrentSince Feb 1, 2026 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2025 Accepting new patients
American Radiology Consultants PLLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Btdi JV, LLP CurrentSince Jan 1, 2026 Accepting new patients
Btdi JV, LLP CurrentSince Apr 1, 2026 Accepting new patients
Btdi JV LLP CurrentSince Dec 5, 2025 Accepting new patients
Btdi JV LLP CurrentSince Feb 1, 2026 Accepting new patients
Btdi JV LLP CurrentSince Apr 1, 2026 Accepting new patients
Btdi JV LLP CurrentSince Feb 1, 2026 Accepting new patients
Btdi JV LLP CurrentSince Mar 1, 2026 Accepting new patients
Btdi JV LLP CurrentSince Oct 15, 2025 Accepting new patients
Btdi JV LLP CurrentSince Aug 10, 2026 Accepting new patients
Btdi JV LLP CurrentSince Dec 1, 2025 Accepting new patients
Btdi JV LLP CurrentSince Sep 1, 2025 Accepting new patients
Blue Stone JV LLP CurrentSince Jan 25, 2026 Accepting new patients
Btdi JV, LLP CurrentSince Aug 1, 2025 Accepting new patients
Btdi JV LLP CurrentSince Aug 15, 2025 Accepting new patients
Btdi JV LLP CurrentSince Sep 15, 2025 Accepting new patients
Btdi JV, LLP CurrentSince Oct 15, 2025 Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

1405 W Jefferson St
Waxahachie, TX 75165
Phone (972) 875-9000

2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 2

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": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1861952921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 BINKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752052229",
            "telephone_number": "800-841-4236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Main St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044917",
            "country_code": "US",
            "telephone_number": "817-702-1244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAN",
        "first_name": "KEVIN",
        "middle_name": "WEIDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-23",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "V3144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.