NPIMap

Individual provider Active NPI

Henry P. Yang, M.D.

  • Plastic Surgery Physician
  • Saint Cloud, MN
National Provider Identifier
1003863366
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
105712 Issued in MN
Practice address
3701 12TH St N
Suite 100
Saint Cloud, MN 56303-2255
Phone
(320) 253-7257
NPI assigned
May 30, 2006
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 105712 MN Primary

Addresses

Primary practice location

3701 12TH St N
Suite 100
Saint Cloud, MN 56303-2255

Mailing address

3701 12TH St N
Suite 100
Saint Cloud, MN 56303-2255
Phone (320) 253-7257

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hyang26822@direct.centracare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111006000780 MN Practitioner - Plastic and Reconstructive Surgery 4486541083 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Washington University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians

Practice addresses (Care Compare)

3701 12TH St N
Suite 100
Saint Cloud, MN 56303-2253
Phone (320) 253-7257

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
105712MNMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Health System-NR LLC CurrentSince Jun 1, 2023 Accepting new patients
Centracare Clinic Current Accepting new patients
St. Cloud Hospital CurrentSince Aug 1, 2013 Accepting new patients
Cura of Sauk Centre LLC CurrentSince Jun 1, 2023 Accepting new patients
Centracare Health System-NR LLC CurrentSince Jun 1, 2023 Accepting new patients
Centracare Clinic CurrentSince Jan 1, 2017 Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Jun 1, 2023 Accepting new patients
Centracare Health System-NR LLC Current Accepting new patients
Centracare Health System - Sauk Centre Current Accepting new patients
Centracare Health System - Melrose CurrentSince Jun 1, 2023 Accepting new patients
Centracare Health System - Melrose CurrentSince Jun 1, 2023 Accepting new patients
Centracare Health System - Sauk Centre Current Accepting new patients
St. Cloud Hospital CurrentSince Aug 1, 2013 Accepting new patients
Centracare Clinic CurrentSince Jan 1, 2017 Accepting new patients
Three Rivers Pathology PA PastSince Aug 15, 2011 Accepting new patients
University of Utah Plastic Surgery Associates Plastic Surgery Past Accepting new patients
Midsota Surgical Suites PA PastSince Jan 1, 2014 Accepting new patients

Locations

525 Main St W
Melrose, MN 56352
Phone (320) 256-4228

1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

3701 12th St N
Ste 100
Saint Cloud, MN 56303
Phone (320) 253-7257

425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221

110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1003863366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 12TH ST N",
            "address_2": "SUITE 100",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032255",
            "telephone_number": "320-253-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 12TH ST N",
            "address_2": "SUITE 100",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032255",
            "telephone_number": "320-253-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "HENRY",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MN",
            "license": "105712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hyang26822@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "hyang26822@direct.centracare.com",
            "address_1": "3701 12th St N",
            "address_2": "Suite 100",
            "city": "Saint Cloud",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563032255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.