Individual provider Active NPI

Ting-Lin Beatrix Yang, MD

  • Dermatology Physician
  • Bellingham, WA
National Provider Identifier
1154771954
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD61154814 Issued in WA
Practice address
4540 Cordata Pkwy Ste 101
Bellingham, WA 98226-8190
Phone
(360) 255-5047
Fax
(360) 778-2395
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2016016958 MO
Internal Medicine Physician 207R00000X 2016016958 MO
Dermatology Physician 207N00000X MD61154814 WA Primary

Addresses

Primary practice location

4540 Cordata Pkwy Ste 101
Bellingham, WA 98226-8190

Mailing address

1793 13TH St SE
Salem, OR 97302-2541
Phone (503) 362-8385

Other practice location 1

1151 Ellis St Ste 202
Bellingham, WA 98225-5245
Phone (360) 746-2380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20210706002462 WA Practitioner - Dermatology 3072844323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Falls Dermatology LLCGroup PAC ID 5890863492, 100 clinicians

Practice addresses (Care Compare)

1600 Continental PL
Suite 101
Mount Vernon, WA 98273-5607
Phone (360) 336-3026

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1533
Removal or shaving of skin growth29
Skin biopsy357

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61154814WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Falls Dermatology, LLC Dermatology CurrentSince Jul 1, 2021 Accepting new patients
Silver Falls Dermatology, LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

1793 13th St SE
Salem, OR 97302
Phone 50336283851283

3110 Commercial Ave
Ste 105
Anacortes, WA 98221
Phone (360) 336-3026

1515 116th Ave NE
Ste 307
Bellevue, WA 98004
Phone (425) 999-2628

1151 Ellis St
Ste 202
Bellingham, WA 98225
Phone (360) 746-2380

4540 Cordata Pkwy
Ste 101
Bellingham, WA 98226
Phone (360) 255-5049

3131 Nassau St
#101
Everett, WA 98201
Phone (425) 339-8888

1106 Douglas St
Ste F
Longview, WA 98632
Phone (360) 636-4500

15906 Mill Creek Blvd
Ste 105
Mill Creek, WA 98012
Phone 4253852009111

1600 Continental Pl
Ste 101
Mount Vernon, WA 98273
Phone (360) 336-3026

Interoperability endpoints

  • Direct secure messaging: tyang@frontierdermpartners.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1154771954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1793 13TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022541",
            "telephone_number": "503-362-8385",
            "fax_number": "503-362-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 CORDATA PKWY STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268190",
            "telephone_number": "360-255-5047",
            "fax_number": "360-778-2395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 Ellis St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982255245",
            "country_code": "US",
            "telephone_number": "360-746-2380",
            "fax_number": "360-746-2382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "TING-LIN",
        "middle_name": "BEATRIX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2016016958",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2016016958",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD61154814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.