DR. KEVIN YIMING YAN MD NPI 1265061691

NPI Information

  • NPI: 1265061691
  • Provider Name: DR. KEVIN YIMING YAN, MD
  • Classification: Ophthalmology - 207WX0109X
  • Specialization: Neuro-ophthalmology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 17 E 102ND ST FL 8
    NEW YORK, NY
    ZIP 10029
  • Phone: (212) 241-1159

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NPI Details

DR. Kevin Yiming Yan, MD is a neuro-ophthalmology ophthalmology in New York, NY with 6 years of experience. The provider is a neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders. DR. Kevin Yiming Yan, MD NPI is 1265061691. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year:2020

The provider's business location address is:

17 E 102ND ST FL 8
NEW YORK, NY
ZIP 10029-204
Phone: (212) 241-1159
Fax: (332) 777-0566

The NPI 1265061691 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/7/2020 and was last updated on 8/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology333715NEW YORKNo
2207WX0109XOphthalmologyNeuro-ophthalmology333715NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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