Active NPI
Wen-Ho Yang, M.D.
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1205035201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036118727
- Practice address
- 2355 S Western Ave
Chicago, IL 60608-3837 - Phone
- (773) 254-1400
- NPI assigned
- Jul 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036118727 | IL | Primary |
Addresses
Primary practice location
2355 S Western Ave
Chicago, IL 60608-3837
Mailing address
966 W 21St St
Chicago, IL 60608-4511
Phone (773) 254-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036118727 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University Central del Caribe Escuela de Medicina, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Howard Brown Health Center
Practice addresses (Care Compare)
2355 S Western Ave
Chicago, IL 60608-3837
Phone (773) 254-1400
6500 N Clark St
Chicago, IL 60626-4002
Phone (773) 388-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alivio Medical Center Inc | Current | Accepting new patients | |
| Alivio Medical Center, Inc. | Current | Accepting new patients | |
| Alivio Medical Center, Inc. | Current | Accepting new patients | |
| Howard Brown Health Center | Past | Accepting new patients |
Locations
966 W 21st St
Chicago, IL 60608
Phone (773) 254-1400
2355 S Western Ave
Chicago, IL 60608
Phone (773) 254-1400
Interoperability endpoints
- wyang580981@direct.ochin.org
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.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1073617387
-
- Student Health Clinic/Center
- Chicago, IL
- NPI 1770739591
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1083860845
-
- Health Educator
- Chicago, IL
- NPI 1811824121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1205035201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "966 W 21ST ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606084511",
"telephone_number": "773-254-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 S WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606083837",
"telephone_number": "773-254-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "WEN-HO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-11",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036118727",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036118727",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.