Individual provider Active NPI

Suh H Yang, FNP

  • Family Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1245904549
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024182350 Issued in VA
Practice address
8640 Sudley Rd Ste 302
Manassas, VA 20110-4404
Phone
(703) 998-0480
NPI assigned
Aug 2, 2021
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0001270010 VA
Family Nurse Practitioner 363LF0000X 0024182350 VA Primary

Addresses

Primary practice location

8640 Sudley Rd Ste 302
Manassas, VA 20110-4404

Mailing address

PO Box 748613
Atlanta, GA 30374-8613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211123000072 DC Practitioner - Nurse Practitioner 5496144933 Reassigns benefits to 1 organization
I20240108003758 VA Practitioner - Nurse Practitioner 5496144933 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

8640 Sudley Rd
Suite 302
Manassas, VA 20110-4404
Phone (703) 369-5959

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001270010VAMDFamily Nurse Practitioner
0024182350VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Irmindra S Rana, MD PLC CurrentSince Aug 1, 2021 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Feb 5, 2024 Accepting new patients
Ashok Chauhan, M.D., P.C. Current Accepting new patients
Jay S Rana MD PLC Current Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Feb 5, 2024 Accepting new patients
Uva Community Health Medical Group, LLC Past Accepting new patients

Locations

611 S Carlin Springs Rd
Ste 203
Arlington, VA 22204
Phone (703) 671-4720

611 S Carlin Springs Rd
Ste 301
Arlington, VA 22204
Phone 3012581904105

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

8640 Sudley Rd
Ste 302
Manassas, VA 20110
Phone (703) 369-5959

Interoperability endpoints

  • Direct secure messaging: syang599852@direct.healthsystem.virginia.edu
  • FHIR API: https://api.platform.athenahealth.com/16272/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1245904549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748613",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 SUDLEY RD STE 302",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104404",
            "telephone_number": "703-998-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "SUH",
        "middle_name": "H",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001270010",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024182350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.