Individual provider Active NPI

Michael Taylor Yuan, MD

  • Family Medicine Physician
  • Castle Rock, CO
National Provider Identifier
1043897036
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0074068 Issued in CO
Practice address
4344 Woodlands Blvd Ste 260
Castle Rock, CO 80104-2801
Phone
(303) 649-3155
Fax
(303) 649-3156
NPI assigned
Mar 25, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0074068 CO Primary

Addresses

Primary practice location

4344 Woodlands Blvd Ste 260
Castle Rock, CO 80104-2801

Mailing address

4344 Woodlands Blvd Ste 260
Castle Rock, CO 80104-2801
Phone (303) 649-3155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250121003046 CO Practitioner - Family Practice 1456758663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1151 Aloha St
Suite 100
Castle Rock, CO 80108-2833
Phone (720) 330-1305

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0074068COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Dec 2, 2024 Accepting new patients
Portercare Adventist Health System CurrentSince Dec 2, 2024 Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Portercare Adventist Health System Family Medicine PastSince Jan 1, 2025 Accepting new patients

Locations

1151 Aloha St
Ste 100
Castle Rock, CO 80108
Phone (720) 330-1305

4344 Woodlands Blvd
Ste 260
Castle Rock, CO 80104
Phone (303) 649-3155

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

Networks

  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO

Interoperability endpoints

  • Direct secure messaging: myuan3993317@adventhealth.direct-ci.com
  • Direct secure messaging: michael.yuan@hca5.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1043897036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 WOODLANDS BLVD STE 260",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042801",
            "telephone_number": "303-649-3155",
            "fax_number": "303-649-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 WOODLANDS BLVD STE 260",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042801",
            "telephone_number": "303-649-3155",
            "fax_number": "303-649-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUAN",
        "first_name": "MICHAEL",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0074068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.