Individual provider Active NPI

Angus Yatman NG, MD

  • Emergency Medicine Physician
  • Redmond, OR
National Provider Identifier
1053355198
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD18320 Issued in OR
Practice address
1253 NW Canal Blvd
Redmond, OR 97756-1334
Phone
(541) 548-8131
Fax
(541) 526-6608
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01092275A IN
Emergency Medicine Physician 207P00000X MD18320 OR Primary

Addresses

Primary practice location

1253 NW Canal Blvd
Redmond, OR 97756-1334

Mailing address

PO Box 6095
Bend, OR 97708-6095
Phone (541) 706-5922

Other practice location 1

34515 9th Ave S
Federal Way, WA 98003-6761
Phone (253) 838-9711

Other practice location 2

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9515

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ang@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, WI, IN4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20050428000002 WA Practitioner - Emergency Medicine 7416996582 Reassigns benefits to 2 organizations
I20151009001039 OR Practitioner - Emergency Medicine 7416996582 Reassigns benefits to 4 organizations
I20181226001343 WI Practitioner - Emergency Medicine 7416996582 Reassigns benefits to 1 organization
I20240205001033 IN Practitioner - Emergency Medicine 7416996582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9250

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01092275AINMDEmergency Medicine Physician
MD18320ORMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Jan 8, 2026 Accepting new patients
Sound Physicians Emergency Medicine of Washington PLLC Emergency Medicine CurrentSince Oct 1, 2019 Accepting new patients
Asante CurrentSince Sep 1, 2016 Accepting new patients
Bay Area Hospital District CurrentSince Aug 22, 2015 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Mar 1, 2024 Accepting new patients
Bay Area Hospital District CurrentSince Aug 22, 2015 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Dec 23, 2019 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Asante Three Rivers Medical Center, LLC CurrentSince Jan 1, 2018 Accepting new patients
Asante CurrentSince Sep 1, 2016 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Apr 1, 2016 Accepting new patients
Asante Ashland Community Hospital, LLC CurrentSince May 1, 2023 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Apr 1, 2016 Accepting new patients
St. Mary's Hospital of Superior Current Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Dec 23, 2019 Accepting new patients
St. Charles Health System, Inc. Emergency Medicine Past Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
St. Charles Health System, Inc. Emergency Medicine Past Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900

115 10th Ave NE
#A
Deer River, MN 56636
Phone (218) 246-8275

407 E 3rd St
Duluth, MN 55805
Phone (218) 786-4357

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443

705 Lundorff Dr
Sandstone, MN 55072
Phone (320) 245-2211

280 Maple St
Ashland, OR 97520
Phone (541) 201-4000

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

200 Prosser Health Dr
Prosser, WA 99350
Phone (509) 786-2222

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

Interoperability endpoints

  • Direct secure messaging: ang787648@direct.unitypoint.org
  • Direct secure messaging: ang422482@direct.peacehealth.org
  • Direct secure messaging: ang98645@secure.stcharleshealthcare.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 2

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1053355198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6095",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977086095",
            "telephone_number": "541-706-5922",
            "fax_number": "541-706-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 NW CANAL BLVD",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561334",
            "telephone_number": "541-548-8131",
            "fax_number": "541-526-6608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34515 9th Ave S",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980036761",
            "country_code": "US",
            "telephone_number": "253-838-9711",
            "fax_number": "253-944-7922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2651 E Discovery Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474089059",
            "country_code": "US",
            "telephone_number": "812-353-9515",
            "fax_number": "812-353-9275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NG",
        "first_name": "ANGUS",
        "middle_name": "YATMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01092275A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD18320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ang@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2651 E Discovery Pkwy",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474089059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.