NPIMap

Individual provider Active NPI

Ya-Lan Huang, MD

  • Nephrology Physician
  • Everett, WA
National Provider Identifier
1013957661
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD00039587 Issued in WA
Practice address
12728 19TH Ave SE Ste 300
Everett, WA 98208-6676
Phone
(425) 252-6801
Fax
(425) 258-1944
NPI assigned
Jun 8, 2006
Last updated
May 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD00039587 WA Primary

Addresses

Primary practice location

12728 19TH Ave SE Ste 300
Everett, WA 98208-6676

Mailing address

12728 19TH Ave SE Ste 300
Everett, WA 98208-6676
Phone (425) 252-1116

Other identifiers 4

IdentifierTypeStateIssuer
110236902OtherWARAILROAD MEDICARE
0146965OtherWALABOR AND INDUSTRY
8275539MedicaidWA
MD00039587OtherWASTATE LICENSE NUMBER

Other names 1

  • Emily Ya-Lan Huang Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20100830000233 WA Practitioner - Nephrology 5395869267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Oklahoma College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12728 19TH Ave SE
Suite 300
Everett, WA 98208-6526
Phone (425) 252-1116

1330 Rockefeller Ave
Suite 450
Everett, WA 98201-1677
Phone (206) 258-6801

1700 13TH St
Everett, WA 98201-1689
Phone (425) 252-0895

4404 80TH St NE
Marysville, WA 98270-3427
Phone (360) 659-1231

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Western Washington Medical Group, Inc PS Nephrology CurrentSince Jul 16, 2001 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Jul 16, 2001 Accepting new patients
Western Washington Medical Group, Inc PS Nephrology Past Accepting new patients

Locations

12728 19th Ave SE
Ste 300
Everett, WA 98208
Phone (425) 252-1116

1330 Rockefeller Ave
Ste 450
Everett, WA 98201
Phone (206) 258-6801

1728 W Marine View Dr
Ste 111
Everett, WA 98201

Interoperability endpoints

  • Direct secure messaging: ehuang727166@direct.multicare.org

Organizations & group practices 4

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.

Hospital & facility affiliations 12

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1013957661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12728 19TH AVE SE STE 300",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086676",
            "telephone_number": "425-252-1116",
            "fax_number": "425-252-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12728 19TH AVE SE STE 300",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086676",
            "telephone_number": "425-252-6801",
            "fax_number": "425-258-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "YA-LAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD00039587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110236902",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRY",
            "identifier": "0146965",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8275539",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "MD00039587",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "HUANG",
            "middle_name": "YA-LAN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.