ERIC JIE YANG – Dermatology Physician, NPI 1659831204

ERIC JIE YANG is a healthcare provider. based in Providence, Rhode Island. specializing in DERMATOLOGY. They hold a License No. LP04915 (RI). The NPI Number for ERIC JIE YANG is 1659831204

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
ERIC JIE YANG
NPI
1659831204
Phone
(401) 444-7139
Address
593 EDDY ST
Enumeration Date
20 March 2019
Last Update Date
9 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5702075970
Graduation Year
2019 (7 years ago)
PAC ID
7911232863
Group Practice PAC ID
5395657001
Professional Enrollment ID
I20240913000770
Address ID
PA185082572SC3XXXXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Digital endpointsOther names

100 DERMATOLOGY in RI

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Provider Addresses for ERIC JIE YANG

  • Rhode Island Hospital, 593, Eddy Street, Downtown, Providence, Providence County, Rhode Island, 02903, United States

    PROVIDENCE, RI 029034923

    Phone: (401) 444-7139

    Fax: (401) 444-7105

    Type: Mailing

  • 100 N ACADEMY AVE

    DANVILLE, PA 178224903

    Phone: (570) 558-2103

    Fax: (570) 558-2129

    Type: Mailing

  • 3 W OLIVE ST

    SCRANTON, PA 185082572

    Phone: (570) 558-2130

    Fax: (570) 558-2129

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $2,225.

Total Amount is formed as General ($2,225) + Research ($0) + Ownership ($0) = $2,225.

Last reported payment date: 2024-04-19 • Largest payer in this snapshot: UCB, Inc. ($362).

Total Amount

$2,225

General + Research + Ownership

Payments

25

Total payment records

General Amount

$2,225

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-19

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: 2024-09-13

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
I20240913000770IDermatologyPATBD

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 02903)

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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: 5395657001View full group profile

Reviews

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Frequently asked questions

What is the registry number for ERIC JIE YANG?
The registry entry for ERIC JIE YANG shows NPI 1659831204.
Is ERIC JIE YANG's NPI status active today?
Active status means ERIC JIE YANG's NPI record is not deactivated in the public file.
Which specialty label fits ERIC JIE YANG?
NPPES ties ERIC JIE YANG to Dermatology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is ERIC JIE YANG tied to Providence, Rhode Island?
If you are local to Providence, Rhode Island, ERIC JIE YANG may be relevant to your search.
Can I export ERIC JIE YANG's record?
You can download the official NPPES record; we summarize key fields for readability.

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