Individual provider Active NPI

Matthew Yasavolian, MD

  • Emergency Medicine Physician
  • Hollywood, FL
National Provider Identifier
1982054029
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME137626 Issued in FL
Practice address
3501 Johnson St
Hollywood, FL 33021-5421
Phone
(650) 906-1912
NPI assigned
Jun 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME137626 FL Primary

Addresses

Primary practice location

3501 Johnson St
Hollywood, FL 33021-5421

Mailing address

3501 Johnson St
Hollywood, FL 33021-5421

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address myasavolian213883@MHSDIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 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
I20190809000246 FL Practitioner - Emergency Medicine 8325375645 Reassigns benefits to 8 organizations
I20260217001670 TN Practitioner - Emergency Medicine 8325375645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians

Practice addresses (Care Compare)

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969
Phone (561) 737-7733

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.65 of 100Reported as group
Quality
90.03
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Inphynet South Broward LLC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Tampa Bay Emergency Physicians LLC Emergency Medicine CurrentSince Oct 19, 2022 Accepting new patients
Lake Oliver Emergency Group, LLC Emergency Medicine CurrentSince Jun 16, 2022 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Lake Oliver Emergency Group, LLC Emergency Medicine CurrentSince Jun 16, 2022 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Nov 7, 2024 Accepting new patients
Tampa Bay Emergency Physicians-Heartland LLC Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Mar 1, 2026 Accepting new patients

Locations

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

7171 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 558-8001

1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

653 Merchants Greene Blvd
Morristown, TN 37813
Phone (423) 492-6900

908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000

Interoperability endpoints

  • Direct secure messaging: myasavolian213883@mhsdirect.net

Organizations & group practices 10

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1982054029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 JOHNSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 JOHNSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215421",
            "telephone_number": "650-906-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASAVOLIAN",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME137626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "myasavolian213883@MHSDIRECT.NET",
            "affiliation": "N",
            "address_1": "3501 Johnson St",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330215421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.