Individual provider Active NPI

Jay A Yates, MD

  • Otolaryngology Physician
  • Sulphur Springs, TX
National Provider Identifier
1902820970
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
V5147 Issued in TX
Practice address
101 Medical PLZ
Sulphur Springs, TX 75482-2136
Phone
(903) 885-6534
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 219987 NY
Otolaryngology Physician 207Y00000X V5147 TX Primary

Addresses

Primary practice location

101 Medical PLZ
Sulphur Springs, TX 75482-2136

Mailing address

229 Parrish St
Suite 250
Canandaigua, NY 14424-1791
Phone (585) 394-8800

Other practice location 1

229 Parrish St
Suite 250
Canandaigua, NY 14424-1795
Phone (585) 394-8800

Other identifiers 1

IdentifierTypeStateIssuer
02131262MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 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
I20111207000172 NY Practitioner - Otolaryngology 8527051150 Reassigns benefits to 1 organization
I20241216001792 TX Practitioner - Otolaryngology 8527051150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Saint Louis University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

101 Medical PLZ
Sulphur Springs, TX 75482-2136
Phone (903) 885-6534

103 B Medical PLZ
Sulphur Springs, TX 75482-2136
Phone (903) 885-6688

105 -II Medical PLZ
Christus Trinity Clinic
Sulphur Springs, TX 75482-2105
Phone (903) 885-5439

105 Medical PLZ
Sulphur Springs, TX 75482-2136
Phone (903) 885-3181

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671

2001 W Ferguson Rd
Suite 1000
Mt Pleasant, TX 75455-2962
Phone (903) 606-7480

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.49 of 100Reported as group
Quality
61.65
Improvement activities
40
Cost
77.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V5147TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside ENT & Allergy LLC. Otolaryngology CurrentSince Dec 14, 2017 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 26, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 26, 2025 Accepting new patients
Susquehanna Physician Services Past Accepting new patients
Susquehanna Physician Services Otolaryngology Past Accepting new patients

Locations

215 Summit St
Batavia, NY 14020
Phone (585) 343-3205

229 Parrish St
Ste 250
Canandaigua, NY 14424
Phone (585) 394-8800

231 Parrish St
Canandaigua, NY 14424
Phone (585) 394-8800

4 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1368

101 Medical Plz
Sulphur Springs, TX 75482
Phone (903) 885-6534

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: jyates502650@christushealth.direct-ci.net
  • FHIR API: https://api.platform.athenahealth.com/20310/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1902820970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 PARRISH ST",
            "address_2": "SUITE 250",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241791",
            "telephone_number": "585-394-8800",
            "fax_number": "585-394-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL PLZ",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822136",
            "telephone_number": "903-885-6534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 Parrish St",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Canandaigua",
            "state": "NY",
            "postal_code": "144241795",
            "country_code": "US",
            "telephone_number": "585-394-8800",
            "fax_number": "585-394-5942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YATES",
        "first_name": "JAY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "219987",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "V5147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02131262",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur Springs, TX

Sources for this page

Verify at the official NPI Registry.