CONNIE YANG (MD) – Dermatology Physician, NPI 1700445814

CONNIE YANG (MD) is a healthcare provider. based in Somerville, Massachusetts. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 321149 (NY). The NPI Number for CONNIE YANG (MD) is 1700445814

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CONNIE YANG (MD)
NPI
1700445814
Phone
(316) 516-8126
Address
33 MERRIAM ST # 2
Enumeration Date
12 June 2019
Last Update Date
7 March 2024

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2123272919
Graduation Year
2019 (7 years ago)
PAC ID
8022344456
Group Practice PAC ID
7214015619
Professional Enrollment ID
I20230501002406
Address ID
NY100147810NE132XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

744 DERMATOLOGY in MA

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Provider Addresses for CONNIE YANG (MD)

  • 2, Merriam Street, Brickbottom, Somerville, Middlesex County, Massachusetts, 02143, United States

    SOMERVILLE, MA 021433403

    Phone: (316) 516-8126

    Type: Mailing

  • Signature Healthcare Brockton Hospital, 680, Centre Street, Brockton, Plymouth County, Massachusetts, 02302, United States

    BROCKTON, MA 023023308

    Phone: (316) 516-8126

    Type: Location

  • 1049 5TH AVE STE 2B

    NEW YORK, NY 100280115

    Phone: (212) 327-2919

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 112 Open Payments records for all available years, with a total value of $4,112.

Total Amount is formed as General ($4,112) + Research ($0) + Ownership ($0) = $4,112.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($580).

Total Amount

$4,112

General + Research + Ownership

Payments

112

Total payment records

General Amount

$4,112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-05-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230501002406IDermatologyNYTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02143)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214015619View full group profile
NameSpecialtyState
D E R M A T O L O G YNY

Reviews

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Frequently asked questions

What is the registry number for CONNIE YANG (MD)?
The registry entry for CONNIE YANG (MD) shows NPI 1700445814.
Is CONNIE YANG (MD)'s NPI status active today?
Active status means CONNIE YANG (MD)'s NPI record is not deactivated in the public file.
What services align with CONNIE YANG (MD)'s listing?
CONNIE YANG (MD)'s public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to CONNIE YANG (MD)?
CONNIE YANG (MD) shows a connection to Somerville, Massachusetts in registry-derived data.
Who maintains CONNIE YANG (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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