Individual provider Active NPI

Shu Ping Yang, M.D.

  • General Practice Physician
  • Phoenix, AZ
National Provider Identifier
1457458267
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
31838 Issued in AZ
Practice address
4710 N 44TH St
Phoenix, AZ 85018-3834
Phone
(602) 840-3430
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 31838 AZ Primary

Addresses

Primary practice location

4710 N 44TH St
Phoenix, AZ 85018-3834

Mailing address

PO Box 15645
Phoenix, AZ 85060-5645
Phone (602) 840-3430

Other names 1

  • Dr. Shu Ping Yang Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20061227000035 AZ Practitioner - General Practice 5890795785 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31838AZMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ceb Capital LLC CurrentSince Aug 1, 2016 Accepting new patients
Ceb Capital LLC Current Accepting new patients
Dana Landing Urgent Care LLC Past Accepting new patients
Greenway Urgent Care LLC Past Accepting new patients
Nextcare Arizona I JV LLC Past Accepting new patients
Chandler Urgent Care LLC Past Accepting new patients
Oasis Anesthesia Consultants PLLC Past Accepting new patients
Sun City Urgent Care LLC Past Accepting new patients
Desert Ridge Urgent Care LLC Past Accepting new patients
Avondale Urgent Care LLC Past Accepting new patients
Glendale Urgent Care LLC Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients
Shea Urgent Care LLC Past Accepting new patients

Locations

9150 W Indian School Rd
Ste 111B
Phoenix, AZ 85037
Phone (623) 247-2300

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1457458267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15645",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850605645",
            "telephone_number": "602-840-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 N 44TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183834",
            "telephone_number": "602-840-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "SHU",
        "middle_name": "PING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "31838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHU",
            "last_name": "YANG",
            "middle_name": "PING",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.