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JAMES YESS I
NPI 1952338840
Internal Medicine in East Providence, RI

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
450 VETERANS MEMORIAL PKWY, BUILDING 4, EAST PROVIDENCE, RI 02914(401) 435-3400(401) 435-3586 Get Directions Write a Review

NPPES record last updated: February 11, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James Yess I NPPES

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

JAMES YESS I (NPI 1952338840) is an individual internal medicine provider in East Providence, Rhode Island, licensed in Rhode Island (MD12072) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2006).

NPPES Registry Identity

NPI1952338840
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES YESS I
Location Address450 VETERANS MEMORIAL PKWY, BUILDING 4East Providence, RI 02914-5300
Mailing Address10 Davol Sq, Suite 400Providence, RI 02903-4754 · (401) 421-4000 · Fax (401) 272-1456
Phone(401) 435-3400
Fax(401) 435-3586
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2006
Enumeration DateJune 27, 2006
Last NPPES UpdateFebruary 11, 2011
✔ NPI 1952338840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · MD12072
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.
450 VETERANS MEMORIAL PKWY, East Providence, RI 02914
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Other Identifiers 4

Medicare PIN007058547RI
Other050483739RI · Tin
Other709004046RI · Group Medicare
Medicaid7058547RI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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

James Yess I 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 ID3779595012
PECOS Enrollment IDI20190514001710
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 James Yess reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Queens Medical Center
5,076 mi
Urgent Care
377 KEAHOLE ST STE E108E109
Honolulu, HI 96825
  • Reassigned Medicare billing, Hawaii enrollment
  • 809 clinicians in this Medicare group
NPI 1528691383 (808) 735-0007

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 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services14 patients

Hospital Affiliations CMS Care Compare

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

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120001
Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02914 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

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.

DR. WILLIAM TURTLE MD
Pediatrics
450 VETERANS MEMORIAL PKWY, BLDG. 10
EAST PROVIDENCE, RI 02914
Providence County (401) 438-6888
ERIN L SHARAF PA
Physician Assistant
450 VETERANS MEMORIAL PKWY, BUILDING 14
EAST PROVIDENCE, RI 02914
Providence County (401) 435-6625
ANN GARRIS NP
Nurse Practitioner
450 VETERANS MEMORIAL PKWY, BLDG. 4
EAST PROVIDENCE, RI 02914
Providence County (401) 435-3400
SARAH DOROTHY MOSLEY RD, LDN
Dietitian, Registered
450 VETERANS MEMORIAL PKWY, 8C
EAST PROVIDENCE, RI 02914
Providence County (401) 396-9331
RADIOLOGY ASSOCIATES INC
Radiology (Diagnostic Radiology)
450 VETERANS MEMORIAL PKWY, BUILDING 2
EAST PROVIDENCE, RI 02914
Providence County (401) 435-3041
DR. DAVID S FARRELL MD
Dermatology
450 VETERANS MEMORIAL PKWY, BLDG. 11 UNIT B
EAST PROVIDENCE, RI 02914
Providence County (401) 438-9150
KAREN MCGOLDRICK MD
Obstetrics & Gynecology
450 VETERANS MEMORIAL PKWY
EAST PROVIDENCE, RI 02914
Providence County (401) 434-7853
RASHMI S LICHT MD
Urology
450 VETERANS MEMORIAL PKWY, BUILDING 14
E PROVIDENCE, RI 02914
Providence County (401) 435-6600

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 James Yess's NPI number?

The NPI number for James Yess is 1952338840. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is James Yess located?

James Yess practices at 450 Veterans Memorial Pkwy Building 4, East Providence, RI 02914. The listed phone number is (401) 435-3400.

What is James Yess's specialty?

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

Is James Yess enrolled in Medicare?

Yes. James Yess 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 James Yess's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Yess reassigns Medicare benefits to The Queens Medical Center (Honolulu, HI). 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 James Yess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Yess accept?

Health plans from HMSA list James Yess 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 James Yess affiliated with any hospitals?

According to CMS data, James Yess is affiliated with The Queens Medical Center.

When was this NPI record last updated?

The NPPES record for James Yess was last updated on February 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.