Active NPI
Jane Y Yu, MD
- Family Medicine Physician
- Brockton, MA
National Provider Identifier
1902887888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 216612
- Practice address
- 110 Liberty St
Brockton, MA 02301-5521 - Phone
- (508) 894-0400
- Fax
- (508) 894-0412
- NPI assigned
- Nov 8, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 216612 | MA | Primary |
Addresses
Primary practice location
110 Liberty St
Brockton, MA 02301-5521
Mailing address
110 Liberty St
Brockton, MA 02301-5521
Phone (508) 894-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2061341 | Medicaid | MA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Miami, LM Miller School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
109 Andrew Ave
Suite 203
Wayland, MA 01778-3157
Phone (508) 358-3300
Hospital & facility affiliations
- Newton-Wellesley Hospital
- Signature Healthcare Brockton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 70.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216612 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayland Personal Physicians PLLC | Current | Accepting new patients |
Locations
109 Andrew Ave
Ste 203
Wayland, MA 01778
Phone (508) 358-3300
Interoperability endpoints
- https://api.platform.athenahealth.com/15596/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Wayland, MA
- NPI 1710422373
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1902887888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LIBERTY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015521",
"telephone_number": "508-894-0400",
"fax_number": "508-894-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LIBERTY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015521",
"telephone_number": "508-894-0400",
"fax_number": "508-894-0412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "JANE",
"middle_name": "Y",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "216612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2061341",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.