Individual provider Active NPI

Jeffrey XI Yang, M.D.

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1447647953
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0091171 Issued in MD
Practice address
345 St. Paul Place
Baltimore, MD 21202
Phone
(410) 332-9000
NPI assigned
Apr 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X D0091171 MD
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X D0091171 MD Primary

Addresses

Primary practice location

345 St. Paul Place
Baltimore, MD 21202

Mailing address

12359 Preakness Circle LN
Clarksville, MD 21029-1227
Phone (443) 878-8051

Other practice location 1

1 Gustave L Levy Pl
Department of Radiology Box 1234
New York, NY 10029-6504
Phone (212) 241-1497

Other names 1

  • XI Yang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20210506002442 MD Practitioner - Diagnostic Radiology 7113263245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Buffalo School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology P aGroup PAC ID 1254327950, 155 clinicians

Practice addresses (Care Compare)

9110 Philadelphia Rd
Suite 114
Baltimore, MD 21237-4323
Phone (443) 579-0144

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40
Cost
74.44

Merit-based Incentive Payment System (MIPS)

Final score
79.13 of 100Reported as group
Quality
56.5
Promoting interoperability
100
Improvement activities
40
Cost
73.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0091171MDMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Paul Place Specialists, Inc. Current Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients
St Paul Place Specialists Inc Diagnostic Radiology CurrentSince Apr 15, 2021 Accepting new patients

Locations

26999 Network Pl
Chicago, IL 60673

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

4801 Dorsey Hall Dr
Ste 101
Ellicott City, MD 21042
Phone (443) 436-1600

9110 Philadelphia Rd
Ste 114
Rosedale, MD 21237
Phone (443) 579-0144

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.

Hospital & facility affiliations 4

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": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1447647953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12359 PREAKNESS CIRCLE LN",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291227",
            "telephone_number": "443-878-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 ST. PAUL PLACE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21202",
            "telephone_number": "410-332-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_2": "Department of Radiology Box 1234",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296504",
            "country_code": "US",
            "telephone_number": "212-241-1497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "JEFFREY",
        "middle_name": "XI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MD",
            "license": "D0091171",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0091171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XI",
            "last_name": "YANG",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.