DR. JIE SHI YAN (M.D.) – Nephrology Physician, NPI 1396744546
Nephrology Physician
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Profile Insights
NPPES metrics only — not quality of care.
21,511 INTERNAL MEDICINE in CA
Provider Addresses for DR. JIE SHI YAN (M.D.)
1227 E Los Angeles Ave
Simi Valley, CA 930652871
Phone: (805) 582-4000
Type: Location
Sycamore Drive, Arbor Glen, Simi Valley, Ventura County, California, 90363, United States
SUITE 160
SIMI VALLEY, CA 930651207
Phone: (805) 584-0177
Fax: (805) 584-1179
Type: Location
PO BOX 2160
MOORPARK, CA 930202160
Phone: (818) 718-2301
Fax: (818) 718-2311
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-10-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051012000616 | I | Nephrology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 546 | 79 | $0 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 516 | 79 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 392 | 226 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 288 | 84 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 268 | 45 | $0 |
Insurance plans in this area (ZIP 93065)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Nephrology, Internal Medicine | CA | |
| Nephrology, Internal Medicine | CA | |
| Nephrology, Internal Medicine | CA | |
| - | PA | |
| Nephrology, Internal Medicine | CA |
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