Active NPI
Yasmin Ansari, MD
- Geriatric Medicine (Internal Medicine) Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MD23791
- Practice address
- 552 NE 138TH PL
Vancouver, WA 98684-4600 - Phone
- (503) 367-3134
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD23791 | OR | Primary |
| Internal Medicine Physician | 207R00000X | MD23791 | OR |
Addresses
Primary practice location
552 NE 138TH PL
Vancouver, WA 98684-4600
Mailing address
552 NE 138TH PL
Vancouver, WA 98684-4600
Phone (503) 367-3134
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269780 | Medicaid | OR | |
| P00438698 | Other | OR | RR MEDICARE - PROVIDENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD23791 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Msi Health LLC | Geriatric Medicine | Current | Accepting new patients |
| Altea Medical Washington PLLC | Internal Medicine | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Post Acute Medical PLLC | Internal Medicine | Current | Accepting new patients |
| Americana SNF Operations, LLC | Past | Accepting new patients | |
| Fort Vancouver of Cascadia, LLC | Past | Accepting new patients | |
| Frontier SNF Operations, LLC | Past | Accepting new patients | |
| Battleground of Cascadia LLC | Past | Accepting new patients | |
| Providence Health & Services - Oregon | Internal Medicine | Past | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
4550 Carman Dr
Lake Oswego, OR 97035
Phone (503) 367-3134
780 Commercial St SE
Ste 100
Salem, OR 97301
Phone (469) 466-7037
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748
303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696
2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200
6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282
6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273
Interoperability endpoints
- yasmin.ansari.1@17650.direct.athenahealth.com
Organizations & group practices 10
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Everett, WA
- NPI 1609655497
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
WA
-
- Geriatric Medicine (Internal Medicine) Physician
- Vancouver, WA
- NPI 1114736626
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
WA
-
- Skilled Nursing Facility
- Longview, WA
- NPI 1528772787
-
- Skilled Nursing Facility
- Battle Ground, WA
- NPI 1790218386
-
- Skilled Nursing Facility
- Vancouver, WA
- NPI 1790352078
-
- Skilled Nursing Facility
- Longview, WA
- NPI 1801500079
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1427005487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "552 NE 138TH PL",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986844600",
"telephone_number": "503-367-3134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "552 NE 138TH PL",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986844600",
"telephone_number": "503-367-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANSARI",
"first_name": "YASMIN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "OR",
"license": "MD23791",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD23791",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269780",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE - PROVIDENCE",
"identifier": "P00438698",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.