Individual provider Active NPI

Yadavinder Dang, MD

  • Ophthalmology Physician
  • Saint Louis, MO
National Provider Identifier
1306928221
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2022048964 Issued in MO
Practice address
522 N New Ballas Rd Ste 136
Saint Louis, MO 63141-6820
Phone
(314) 432-7010
Fax
(314) 872-7141
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2022048964 MO Primary

Addresses

Primary practice location

522 N New Ballas Rd Ste 136
Saint Louis, MO 63141-6820

Mailing address

522 N New Ballas Rd Ste 136
Saint Louis, MO 63141-6820
Phone (314) 432-7010

Other identifiers 1

IdentifierTypeStateIssuer
00A385960MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060228000400 CA Practitioner - Ophthalmology 3779514963
I20260120000712 MO Practitioner - Ophthalmology 3779514963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwestern Ophthalmology LLCGroup PAC ID 1951706993, 3 clinicians

Practice addresses (Care Compare)

70 Jungermann Cir
Suite 103
Saint Peters, MO 63376-1619
Phone (636) 939-3500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022048964MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwestern Ophthalmology, LLC Ophthalmology CurrentSince Jan 1, 2026 Accepting new patients

Locations

522 N New Ballas Rd
Ste 13
Saint Louis, MO 63141
Phone (314) 432-7010

522 N New Ballas Rd
Ste 136
Saint Louis, MO 63141
Phone (314) 432-7010

70 Jungermann Cir
Ste 103
Saint Peters, MO 63376
Phone (314) 469-1230

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1306928221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD STE 136",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416820",
            "telephone_number": "314-432-7010",
            "fax_number": "314-872-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD STE 136",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416820",
            "telephone_number": "314-432-7010",
            "fax_number": "314-872-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "YADAVINDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2022048964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A385960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.