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YANIS BOUMBER MD
NPI 1780870428
Internal Medicine - Hematology & Oncology in Marion, OH

Active since September 17, 2007PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1000 MCKINLEY PARK DR, MARION, OH 43302(740) 383-7830 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 24, 2025, Feb 10, 2020, Dec 13, 2016 (3 updates tracked since 2016).

About Yanis Boumber Md NPPES

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

YANIS BOUMBER MD (NPI 1780870428) is an individual hematology & oncology provider in Marion, Ohio, licensed in Ohio (35.154659) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780870428
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameYANIS BOUMBERCredential: MD
Location Address1000 MCKINLEY PARK DRMarion, OH 43302-6399
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Phone(740) 383-7830
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateSeptember 17, 2007
Last NPPES UpdateNovember 24, 20253 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1780870428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in OH · 35.154659✔ Licensed in IL · 036151765✔ Licensed in AL · 47426
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License MD449281 (PA), MD2015-0521 (NM)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1000 MCKINLEY PARK DR, Marion, OH 43302
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12000 6th Ave SBirmingham, AL 35233-2110 · Phone (205) 801-8259 · Fax (205) 801-8444
Location 2676 N Saint Clair St Ste 850Chicago, IL 60611-3124 · Phone (312) 695-6180 · Fax (312) 695-6189

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Molina Healthcare.Insurance ›

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

Yanis Boumber Md 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 ID7810185956
PECOS Enrollment IDI20231031003201, I20251002003852
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 Reassignments

3

Medicare enrollment records show Yanis Boumber reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marion Area Physicians LLC
0.3 mi
Internal Medicine
1040 DELAWARE AVE
Marion, OH 43302
  • Reassigned Medicare billing, Ohio enrollment
  • 423 clinicians in this Medicare group
NPI 1619230802 (740) 383-7000
Ohiohealth Corporation
37 mi
Cardiovascular Disease
3705 OLENTANGY RIVER RD, SUITE 100
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1194979526 (614) 262-6772
University Of Alabama Health Services Foundation, PC
517 mi
Clinical Medical Laboratory
720 20TH STREET SOUTH
Birmingham, AL 35294
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1366638330 (205) 934-4983

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Marion General Hospital

Acute Care Hospitals · Marion, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360011
Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Morrow County Hospital

Critical Access Hospitals · Mount Gilead, OH
OwnershipGovernment - Local
CMS Certification Number361313
Location651 West Marion RoadMount Gilead, OH 43338 · Morrow County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

JENNIFER BIANCA COFFEY CNP
Nurse Practitioner (Acute Care)
1000 MCKINLEY PARK DR
MARION, OH 43302
Marion County (740) 383-8400
MRS. DELLA LANE RICE NP
Nurse Practitioner
1000 MCKINLEY PARK DR
MARION, OH 43302
Marion County (740) 383-8473
JILL R THOMAS PAC
Physician Assistant
1000 MCKINLEY PARK DR
MARION, OH 43302
Marion County (740) 383-8700
ASHLEY JUDSON RD
Dietitian, Registered
1000 MCKINLEY PARK DR
MARION, OH 43302
Marion County (740) 383-8616
FRANKLIN R MILLARD PAC
Physician Assistant
1000 MCKINLEY PARK DR
MARION, OH 43302
Marion County (740) 383-8700
VEERA CHANDRA SEKHAR VEERLA MD
Hospitalist
1000 MCKINLEY PARK DR
MARION, OH 43302
Marion County (740) 383-8473
BRAD BABINES RDN, LD
Dietitian, Registered
1000 MCKINLEY PARK DR
MARION, OH 43302
Marion County (740) 383-8400
DR. MELISSA O'RYAN MEKESA M.D.
Emergency Medicine
1000 MCKINLEY PARK DR
MARION, OH 43302
Marion County (740) 383-8700

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 Yanis Boumber's NPI number?

The NPI number for Yanis Boumber is 1780870428. It was assigned to this individual provider in the NPPES registry on September 17, 2007.

Where is Yanis Boumber located?

Yanis Boumber practices at 1000 Mckinley Park Dr, Marion, OH 43302. The listed phone number is (740) 383-7830.

What is Yanis Boumber's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Yanis Boumber enrolled in Medicare?

Yes. Yanis Boumber 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 organizations bill Medicare for Yanis Boumber's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yanis Boumber reassigns Medicare benefits to 3 organizations: Marion Area Physicians LLC (Marion, OH), Ohiohealth Corporation (Columbus, OH) and University Of Alabama Health Services Foundation, PC (Birmingham, AL). Each 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 Yanis Boumber's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yanis Boumber accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual and Molina Healthcare list Yanis Boumber as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Yanis Boumber affiliated with any hospitals?

According to CMS data, Yanis Boumber is affiliated with Riverside Methodist Hospital, Marion General Hospital, Grady Memorial Hospital and Morrow County Hospital.

When was this NPI record last updated?

The NPPES record for Yanis Boumber was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.