NPIMap

Individual provider Active NPI

Steven Daesook Yang, M.D.

  • Specialist
  • Alexandria, VA
National Provider Identifier
1518173913
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101047625 Issued in VA
Practice address
6354 Walker LN Ste 240
Alexandria, VA 22310-3255
Phone
(703) 922-6161
Fax
(703) 922-1899
NPI assigned
May 15, 2007
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101047625 VA Primary

Addresses

Primary practice location

6354 Walker LN Ste 240
Alexandria, VA 22310-3255

Mailing address

6354 Walker LN Ste 240
Alexandria, VA 22310-3255
Phone (703) 922-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110922000051 DC Practitioner - Internal Medicine 9830250513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Physicians of AlexandriaGroup PAC ID 9931260619, 2 clinicians

Practice addresses (Care Compare)

6354 Walker LN
Suite 240
Alexandria, VA 22310-3255
Phone (703) 922-6161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101047625VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Inova Health Care Services Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6354 Walker Ln
Ste 240
Alexandria, VA 22310
Phone (703) 922-6161

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1518173913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6354 WALKER LN STE 240",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103255",
            "telephone_number": "703-922-6161",
            "fax_number": "703-922-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6354 WALKER LN STE 240",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103255",
            "telephone_number": "703-922-6161",
            "fax_number": "703-922-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "STEVEN",
        "middle_name": "DAESOOK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101047625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.