Individual provider Active NPI

Kinan Yarta, MD

  • Hematology & Oncology Physician
  • Clifton Springs, NY
National Provider Identifier
1962844936
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
293420 Issued in NY
Practice address
2 Coulter Rd Ste 2615
Clifton Springs, NY 14432-1122
Phone
(315) 462-1472
NPI assigned
Jul 19, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 293420 NY Primary

Addresses

Primary practice location

2 Coulter Rd Ste 2615
Clifton Springs, NY 14432-1122

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kyarta343432@direct.rochesterregional.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180810000232 NY Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 9638477805 Reassigns benefits to 3 organizations
I20240320002149 OH Practitioner - Medical Oncology 9638477805 Reassigns benefits to 1 organization
I20241227001674 NY Practitioner - Internal MedicinePractitioner - Medical Oncology 9638477805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Medical Oncology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clifton Springs Sanitarium CoGroup PAC ID 5092704809, 230 clinicians
Wyckoff Professional Medical Services PCGroup PAC ID 6406748607, 154 clinicians

Practice addresses (Care Compare)

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-5711

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
293420NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Feb 12, 2024 Accepting new patients
New York University CurrentSince Dec 6, 2019 Accepting new patients
New York University CurrentSince Dec 6, 2019 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Nov 18, 2024 Accepting new patients
Wyckoff Professional Medical Services, PC Hematology & Oncology CurrentSince Jan 1, 2025 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Feb 12, 2024 Accepting new patients
Clifton Springs Sanitarium Company Past Accepting new patients
Day Kimball Medical Group Inc Past Accepting new patients

Locations

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

374 Stockholm St
#13202
Brooklyn, NY 11237
Phone (718) 963-6793

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

2 Coulter Rd
Ste 2615
Clifton Springs, NY 14432
Phone (315) 462-1472

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4

Organizations & group practices 9

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 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": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1962844936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COULTER RD STE 2615",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321122",
            "telephone_number": "315-462-1472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 55th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11220",
            "country_code": "US",
            "telephone_number": "718-630-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YARTA",
        "first_name": "KINAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-19",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "293420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyarta343432@direct.rochesterregional.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2 Coulter Rd Ste 2615",
            "city": "Clifton Springs",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144321122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clifton Springs, NY

Sources for this page

Verify at the official NPI Registry.