Active NPI
Ya Gao, MD
- Internal Medicine Physician
- Fort Wayne, IN
National Provider Identifier
1386348118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD493096
- Practice address
- 2817 Westbrook Dr Apt 308
Fort Wayne, IN 46805-2026 - Phone
- (540) 892-9039
- NPI assigned
- Mar 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11023064A | IN | |
| Internal Medicine Physician | 207R00000X | MD493096 | PA | Primary |
Addresses
Primary practice location
2817 Westbrook Dr Apt 308
Fort Wayne, IN 46805-2026
Mailing address
2817 Westbrook Dr Apt 308
Fort Wayne, IN 46805-2026
Phone (540) 892-9039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230715000621 | IN | Order and Referring Only - Internal Medicine | 5991165409 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- ygao566068@direct.parkviewexchange.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1386348118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 WESTBROOK DR APT 308",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468052026",
"telephone_number": "540-892-9039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 WESTBROOK DR APT 308",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468052026",
"telephone_number": "540-892-9039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAO",
"first_name": "YA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-27",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "11023064A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD493096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.