Individual provider Active NPI

Taras Yurchenko, PA-C

  • Medical Physician Assistant
  • Dover, DE
National Provider Identifier
1912559782
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1100 Forrest Ave
Dover, DE 19904-3309
Phone
(302) 674-4627
NPI assigned
Jul 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

1100 Forrest Ave
Dover, DE 19904-3309

Mailing address

1100 Forrest Ave
Dover, DE 19904-3309
Phone (302) 674-4627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190911000297 DE Practitioner - Physician Assistant 6406185826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infusion Solutions of DelawareGroup PAC ID 1951407691, 6 clinicians

Practice addresses (Care Compare)

1100 Forrest Ave
Dover, DE 19904-3309
Phone (302) 674-4627

Hospital & facility affiliations

  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

Merit-based Incentive Payment System (MIPS)

Final score
90.07 of 100Reported as group
Quality
95
Improvement activities
40
Cost
73.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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.

Hospital & facility affiliations 3

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": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1912559782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FORREST AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043309",
            "telephone_number": "302-674-4627",
            "fax_number": "302-674-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FORREST AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043309",
            "telephone_number": "302-674-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURCHENKO",
        "first_name": "TARAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.