Individual provider Active NPI

Wei Lin Ouyang, MD

  • Neuroradiology Physician
  • Salt Lake City, UT
National Provider Identifier
1033613880
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
13312670-1205 Issued in UT
Practice address
30 N 1900 E RM 1A071
Salt Lake City, UT 84132-0002
Phone
(801) 581-2121
NPI assigned
Mar 19, 2018
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 13312670-1205 UT Primary

Addresses

Primary practice location

30 N 1900 E RM 1A071
Salt Lake City, UT 84132-0002

Mailing address

30 N 1900 E RM 1A071
Salt Lake City, UT 84132-0002
Phone (801) 581-2121

Other practice location 1

4445 Magnolia Ave Ofc
Riverside, CA 92501-4135
Phone (951) 788-3000

Other names 1

  • Will Ouyang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240624001781 UT Practitioner - Diagnostic Radiology 5799159042 Reassigns benefits to 2 organizations
I20240829002829 ID Practitioner - Diagnostic Radiology 5799159042 Reassigns benefits to 1 organization
I20260226004316 WA Practitioner - Diagnostic Radiology 5799159042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tellica Imaging - Washington LLCGroup PAC ID 0648757393, 50 clinicians
Tellica Imaging LLCGroup PAC ID 3577950765, 17 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

2941 S 38TH St
Suite E
Tacoma, WA 98409-5647
Phone (253) 534-8689

5217 S State St
Suite 200
Murray, UT 84107-4812
Phone (208) 417-5100

5292 S College Dr
200 Imed Heart Rhythm Specialists Miller
Murray, UT 84123-2672
Phone (801) 281-4278

8505 W Overland Rd
Boise, ID 83709-1644
Phone (208) 417-5100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Tellica Imaging, LLC CurrentSince Oct 24, 2024 Accepting new patients
Tellica Imaging, LLC CurrentSince Oct 24, 2024 Accepting new patients
Tellica Imaging - Washington LLC CurrentSince Jan 13, 2026 Accepting new patients
Ihc Health Services Inc CurrentSince Aug 1, 2024 Accepting new patients
Tellica Imaging - Washington LLC CurrentSince Jan 13, 2026 Accepting new patients
Tellica Imaging, LLC CurrentSince Jul 1, 2024 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Tellica Imaging, LLC CurrentSince Oct 24, 2024 Accepting new patients
Tellica Imaging, LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

8505 W Overland Rd
Boise, ID 83709
Phone (208) 417-5100

1887 Whitney Mesa Dr
Henderson, NV 89014
Phone (702) 819-0368

5292 S College Dr
Ste 200
Murray, UT 84123
Phone (801) 281-4278

5217 S State St
Ste 200
Salt Lake City, UT 84107
Phone (208) 417-5100

36 S Street St
Ste 2200
Salt Lake Cty, UT 84111
Phone (385) 622-0669

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

421 E Main St
Auburn, WA 98002
Phone (253) 204-2530

2941 S 38th St
Ste E
Tacoma, WA 98409
Phone (253) 534-8689

Organizations & group practices 10

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 5

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1033613880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N 1900 E RM 1A071",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320002",
            "telephone_number": "801-581-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 1900 E RM 1A071",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320002",
            "telephone_number": "801-581-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4445 Magnolia Ave Ofc",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925014135",
            "country_code": "US",
            "telephone_number": "951-788-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUYANG",
        "first_name": "WEI LIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "UT",
            "license": "13312670-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILL",
            "last_name": "OUYANG",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.