Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Yan V Yatsynovich, MD

Individual provider Cardiovascular Disease Physician · NPI 1427445071

Yan V Yatsynovich, MD is an Interventional Cardiology in Cookeville, Tennessee. Qualified in 2014, 12 years ago. Practices with Crmc MSO Sub 1 Incorporated, a 21-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
12
Licensed in
TN
In the registry since
2015
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

127 N Oak Ave # A
Cookeville, TN 38501-2435
Phone: (931) 783-2361
Fax: (931) 783-5215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 64321 (TN)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 64321 (TN)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence 64321 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 64321 (TN)

Record details

NPI number1427445071
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 22, 2015
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Crmc Mso Sub 1 Incorporated — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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