Individual provider Active NPI

Yang Ahn, MD

  • Family Medicine Physician
  • Cedar Rapids, IA
National Provider Identifier
1083617385
Registry record updated Jan 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19255 Issued in IA
Practice address
9255 Atlantic Dr SW
Cedar Rapids, IA 52404-8950
Phone
(319) 396-2000
Fax
(319) 396-5567
NPI assigned
May 31, 2005
Last updated
Jan 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2008

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 19255 IA Primary

Addresses

Primary practice location

9255 Atlantic Dr SW
Cedar Rapids, IA 52404-8950

Mailing address

9255 Atlantic Dr SW
Cedar Rapids, IA 52404-8950
Phone (319) 396-2000

Other identifiers 1

IdentifierTypeStateIssuer
0170506MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 27, 2022 through May 27, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Yang Ahn, MD, PC Family Medicine CurrentSince Aug 1, 1981 Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients

Locations

9255 Atlantic Dr SW
Cedar Rapids, IA 52404
Phone (319) 396-1386

860 22nd Ave
Coralville, IA 52241
Phone (319) 338-8000

860 22nd Ave
Ste 1
Coralville, IA 52241
Phone (319) 338-8000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199491200000",
    "number": "1083617385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9255 ATLANTIC DR SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524048950",
            "telephone_number": "319-396-2000",
            "fax_number": "319-396-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9255 ATLANTIC DR SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524048950",
            "telephone_number": "319-396-2000",
            "fax_number": "319-396-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "YANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2008-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "19255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0170506",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.