Individual provider Active NPI

Yasmin Ansari, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Vancouver, WA
National Provider Identifier
1427005487
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD23791 Issued in OR
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

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
269780MedicaidOR
P00438698OtherORRR MEDICARE - PROVIDENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 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
I20051227000306 OR Practitioner - Internal Medicine 2860414315 Reassigns benefits to 2 organizations
Practice locations: Lake Oswego, OR
I20250321001075 WA Practitioner - Internal Medicine 2860414315 Reassigns benefits to 3 organizations
Practice locations: Vancouver, WA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD23791ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Msi Health LLC Geriatric Medicine CurrentSince Jan 1, 2025 Accepting new patients
Altea Medical Washington PLLC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 29, 2024 Accepting new patients
Post Acute Medical PLLC Internal Medicine CurrentSince Feb 24, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.