Individual provider Active NPI

Mike Nanyong Yuan, MD, PHD

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1326050188
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
K7125 Issued in TX
Practice address
1065 Gessner Rd
Ste 203
Houston, TX 77055-6061
Phone
(713) 490-1493
Fax
(713) 588-2428
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X K7125 TX Primary

Addresses

Primary practice location

1065 Gessner Rd
Ste 203
Houston, TX 77055-6061

Mailing address

27 Berenger PL
Sugar Land, TX 77479-5657
Phone (713) 490-1493

Other identifiers 9

IdentifierTypeStateIssuer
00020160OtherHUMANA
2683468OtherATNEA HMO
P00004223OtherRAILROAD MEDICARE
05-00377OtherUNITED HEALTHCARE
49GKOtherBCBS
6944559-005OtherCIGNA
029933101MedicaidTX
ONE HEALTH PLANOther891214
7374142OtherATNEA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051102001019 TX Practitioner - Neurology 1850319401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1065 Gessner Rd
Suite 200
Houston, TX 77055-6063

27 Berenger PL
Sugar Land, TX 77479-5657

9440 Bellaire Blvd
Suite 200
Houston, TX 77036-4557
Phone (713) 490-1493

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7125TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mike Yuan MD PA Neurology CurrentSince Dec 1, 2000 Accepting new patients
Shengkun Yao, MD PA Past Accepting new patients
Shengkun Yao, MD PA Past Accepting new patients

Locations

1065 Gessner Rd
Ste 203
Houston, TX 77055
Phone (713) 490-1493

9889 Bellaire Blvd
Ste 128
Houston, TX 77036
Phone (713) 490-1493

9440 Bellaire Blvd
Ste 200
Houston, TX 77036
Phone (713) 490-1493

Organizations & group practices 3

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 1

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1326050188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BERENGER PL",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795657",
            "telephone_number": "713-490-1493",
            "fax_number": "713-588-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 GESSNER RD",
            "address_2": "STE 203",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556061",
            "telephone_number": "713-490-1493",
            "fax_number": "713-588-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUAN",
        "first_name": "MIKE",
        "middle_name": "NANYONG",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "K7125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "00020160",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATNEA HMO",
            "identifier": "2683468",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00004223",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "05-00377",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49GK",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6944559-005",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029933101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "891214",
            "identifier": "ONE HEALTH PLAN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATNEA",
            "identifier": "7374142",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.