NPIMap

Individual provider Active NPI

Ghous A. Yasin, M.D.

  • Internal Medicine Physician
  • North Tonawanda, NY
National Provider Identifier
1982695649
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
212275 Issued in NY
Practice address
277 Division St
North Tonawanda, NY 14120-4667
Phone
(716) 690-2291
Fax
(716) 690-2369
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 212275 NY Primary

Addresses

Primary practice location

277 Division St
North Tonawanda, NY 14120-4667

Mailing address

277 Division St
North Tonawanda, NY 14120-4667
Phone (716) 690-2291

Other identifiers 1

IdentifierTypeStateIssuer
01927971MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120315000591 NY Practitioner - Internal Medicine 7113934241 Reassigns benefits to 1 organization
Receives reassigned benefits from 2 practitioners
Practice locations: Cheektowaga, NY; North Tonawanda, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

4893 Transit Rd
Depew, NY 14043-4698
Phone (716) 608-7040

Hospital & facility affiliations

  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • McAuley Seton Home Care Corp Chha Home health agency, Buffalo, NY, CCN 337251
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212275NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Basharat Ali Medical PC CurrentSince Jul 25, 2017 Accepting new patients
General Physician, PC CurrentSince Jul 22, 2024 Accepting new patients
Wny Internal Medicine P.C. Internal Medicine Current Accepting new patients
Ghous a Yasin MD Internal Medicine PastSince Nov 14, 2016 Accepting new patients
Elder Medical Services PC PastSince Aug 1, 2004 Accepting new patients
Irshad Ali, MD Internal Medicine Past Accepting new patients

Locations

4893 Transit Rd
Depew, NY 14043
Phone (716) 608-7040

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

Interoperability endpoints

  • Direct secure messaging: gyasin@gppc.medentdirect.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 6

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 11

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1982695649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 DIVISION ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141204667",
            "telephone_number": "716-690-2291",
            "fax_number": "716-690-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 DIVISION ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141204667",
            "telephone_number": "716-690-2291",
            "fax_number": "716-690-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASIN",
        "first_name": "GHOUS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "212275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01927971",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.