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DR. KEVIN YOHANNAN DO
NPI 1174105738
Student in an Organized Health Care Education/Training Program in Middletown, NY

Active since April 23, 2021PECOS EnrolledAccepts Medicare Assignment
707 E MAIN ST, MIDDLETOWN, NY 10940(845) 333-7373(845) 333-7342 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 14, 2025, Apr 23, 2021 (2 updates tracked since 2021).

About Dr. Kevin Yohannan Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN YOHANNAN DO (NPI 1174105738) is an individual student in an organized health care education/training program in Middletown, New York and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1174105738
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KEVIN YOHANNANCredential: DO
Location Address707 E MAIN STMiddletown, NY 10940-2650
Mailing Address707 E Main StMiddletown, NY 10940-2650 · (845) 333-7373 · Fax (845) 333-7342
Phone(845) 333-7373
Fax(845) 333-7342
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2021
Enumeration DateApril 23, 2021
Last NPPES UpdateMay 14, 20252 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1174105738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License 329463 (NY)
707 E MAIN ST, Middletown, NY 10940
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin Yohannan Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062922263
PECOS Enrollment IDI20250606002704
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Yohannan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nuvance Health Medical Practice PC
28 mi
Internal Medicine
45 READE PLACE
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 638 clinicians in this Medicare group
NPI 1437358033 (845) 475-9661

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRASSIMIR ATANASSOV MD
Surgery (Surgical Critical Care)
707 E MAIN ST
MIDDLETOWN, NY 10940
Orange County (845) 333-7575
DR. AAMIR MASOOD GILANI M.D
Internal Medicine (Pulmonary Disease)
707 E MAIN ST
MIDDLETOWN, NY 10940
Orange County (845) 333-7575
HAALA BABAR DO
Emergency Medicine
707 E MAIN ST
MIDDLETOWN, NY 10940
Orange County (845) 333-7373
DR. ERINI ANDREAS CHRISTODOULOU MD
Student in an Organized Health Care Education/Training Program
707 E MAIN ST
MIDDLETOWN, NY 10940
Orange County (845) 333-7373
TETYANA KOCHETKOVA
Dietitian, Registered
707 E MAIN ST
MIDDLETOWN, NY 10940
Orange County (845) 333-1000
MR. BRIGHT BOAFO NKRUMAH PA
Physician Assistant (Medical)
707 E MAIN ST
MIDDLETOWN, NY 10940
Orange County (845) 333-1114
FRANK CHIDI OGBONNA MD/DO
Radiology (Radiation Oncology)
707 E MAIN ST
MIDDLETOWN, NY 10940
Orange County (845) 333-1000
DUSTIN BATTAD MD
Student in an Organized Health Care Education/Training Program
707 E MAIN ST
MIDDLETOWN, NY 10940
Orange County (845) 333-7373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Yohannan's NPI number?

The NPI number for Kevin Yohannan is 1174105738. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Where is Kevin Yohannan located?

Kevin Yohannan practices at 707 E Main St, Middletown, NY 10940. The listed phone number is (845) 333-7373.

What is Kevin Yohannan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kevin Yohannan enrolled in Medicare?

Yes. Kevin Yohannan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kevin Yohannan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Yohannan reassigns Medicare benefits to Nuvance Health Medical Practice PC (Poughkeepsie, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Yohannan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kevin Yohannan affiliated with any hospitals?

According to CMS data, Kevin Yohannan is affiliated with Vassar Brothers Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Yohannan was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.