Individual provider Active NPI

Paokou Marcus Yang, DPM

  • Podiatrist
  • Saint Paul, MN
National Provider Identifier
1346358371
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
681 Issued in MN
Practice address
1504 White Bear Ave N
Saint Paul, MN 55106-1622
Phone
(651) 771-2513
Fax
(651) 771-2514
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 681 MN Primary

Addresses

Primary practice location

1504 White Bear Ave N
Saint Paul, MN 55106-1622

Mailing address

1504 White Bear Ave N
Saint Paul, MN 55106-1622
Phone (651) 771-2513

Other names 1

  • Paokou Marcus Yang Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041204000163 MN Practitioner - Podiatry 4789640491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1504 N White Bear Ave
Suite a
Saint Paul, MN 55106-1623
Phone (651) 771-2513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Doctors Medical Clinic, P.a. CurrentSince Mar 5, 2020 Accepting new patients
The Doctors Medical Clinic, P.a. CurrentSince Jan 29, 2003 Accepting new patients
Open Cities Health Center, Inc. Past Accepting new patients

Locations

1504 White Bear Ave N
Ste A
Saint Paul, MN 55106
Phone (651) 771-2513

1504 White Bear Ave N
Saint Paul, MN 55106
Phone (651) 771-2513

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDHIBD

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1346358371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 WHITE BEAR AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551061622",
            "telephone_number": "651-771-2513",
            "fax_number": "651-771-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 WHITE BEAR AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551061622",
            "telephone_number": "651-771-2513",
            "fax_number": "651-771-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "PAOKOU",
        "middle_name": "MARCUS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAOKOU",
            "last_name": "YANG",
            "middle_name": "MARCUS",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.