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DR. YAN MEDICAL PLLC
NPI 1306365564
Internal Medicine in Flushing, NY

Active since September 19, 2017
13630 MAPLE AVE, SUITE 2-I, FLUSHING, NY 11355(646) 250-1085 Get Directions Write a Review

NPPES record last updated: October 4, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Yan Medical Pllc NPPES

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

DR. YAN MEDICAL PLLC (NPI 1306365564) is a healthcare organization registered as an internal medicine in Flushing, New York and active in the NPI registry since September 2017. The organization lists Xiaorong Yan, Owner, as its authorized official.

NPPES Registry Identity

NPI1306365564
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDR. YAN MEDICAL PLLC
Location Address13630 MAPLE AVE, SUITE 2-IFlushing, NY 11355-3824
Mailing Address13630 Maple Ave, Suite 2-iFlushing, NY 11335-3865
Phone(646) 250-1085
Organization SubpartNo
Authorized OfficialXiaorong YanOwner · (646) 250-1085
Enumeration DateSeptember 19, 2017
Last NPPES UpdateOctober 4, 2017
✔ NPI 1306365564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 280188
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
13630 MAPLE AVE, Flushing, NY 11355
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Yan Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Yan Medical PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Xiaorong Yan, MD
Internal Medicine
NPI 1811125776
1521 GULL RD
Kalamazoo, MI 49048
(269) 226-5165
✔ PECOS✔ Accepts Medicare617 mi

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

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 Dr. Yan Medical PLLC's NPI number?

The NPI number for Dr. Yan Medical PLLC is 1306365564. It was assigned to this organization in the NPPES registry on September 19, 2017.

Where is Dr. Yan Medical PLLC located?

Dr. Yan Medical PLLC is located at 13630 Maple Ave Suite 2-I, Flushing, NY 11355. The listed phone number is (646) 250-1085.

What is Dr. Yan Medical PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dr. Yan Medical PLLC enrolled in Medicare?

Yes. Dr. Yan Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Yan Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Dr. Yan Medical PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr. Yan Medical PLLC was last updated on October 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.