Individual provider Active NPI

Ellen Yang

  • Ophthalmology Physician
  • Bloomington, MN
National Provider Identifier
1033857057
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
82075 Issued in MN
Practice address
9801 Dupont Ave S Ste 200
Bloomington, MN 55431-3200
Phone
(952) 888-5800
Fax
(952) 567-6176
NPI assigned
May 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 82075 MN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

9801 Dupont Ave S Ste 200
Bloomington, MN 55431-3200

Mailing address

9801 Dupont Ave S Ste 425
Bloomington, MN 55431-3873
Phone (952) 888-5800

Other practice location 1

1969 W Ogden Ave
Chicago, IL 60612-3765
Phone (312) 864-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20260130002243 IL Practitioner - Ophthalmology 4981086758 Reassigns benefits to 1 organization
I20260519001900 MN Practitioner - Ophthalmology 4981086758

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
R Franklin University of Med & Sci/Chicago Medical School, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1212 S Michigan Ave
Apt 202
Chicago, IL 60605-2417

1950 W Polk St
Chicago, IL 60612-3723

9801 Dupont Ave S
Suite 425
Bloomington, MN 55431-3873

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82075MNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County CurrentSince Dec 14, 2025 Accepting new patients
Cook County CurrentSince Dec 14, 2025 Accepting new patients
Minnesota Eye Consultants, PA Ophthalmology PastSince Jul 1, 2026 Accepting new patients

Locations

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1033857057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 DUPONT AVE S STE 425",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313873",
            "telephone_number": "952-888-5800",
            "fax_number": "952-567-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 DUPONT AVE S STE 200",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313200",
            "telephone_number": "952-888-5800",
            "fax_number": "952-567-6176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1969 W Ogden Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123765",
            "country_code": "US",
            "telephone_number": "312-864-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "82075",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.