Individual provider Active NPI

Evelyn Yu-Ting Fang, MD

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1528176781
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60717502 Issued in WA
Practice address
1959 NE Pacific St.
Seattle, WA 98195-0001
Phone
(206) 520-5000
NPI assigned
Aug 28, 2006
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60717502 WA Primary

Addresses

Primary practice location

1959 NE Pacific St.
Seattle, WA 98195-0001

Mailing address

PO Box 50095
Seattle, WA 98145-5095

Other practice location 1

6322 Roosevelt Way NE
Seattle, WA 98115-6625
Phone (206) 201-0544

Other practice location 2

31675 Pacific Hwy S Ste 100
Federal Way, WA 98003-5407
Phone (253) 215-1093

Other practice location 3

15809 Bear Creek Pkwy
Redmond, WA 98052-1542
Phone (425) 882-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20190408002464 WA Practitioner - Family Practice 1557407673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Association of University PhysiciansGroup PAC ID 0446162697, 3,484 clinicians

Practice addresses (Care Compare)

1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-4333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6661AKMDLicensed Practical Nurse
MD60717502WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of University Physicians Family Medicine CurrentSince Aug 5, 2024 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jan 1, 2022 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jan 1, 2022 Accepting new patients

Locations

31675 Pacific Hwy S
Federal Way, WA 98003
Phone (253) 215-1093

31675 Pacific Hwy S
Ste 100
Federal Way, WA 98003
Phone (253) 215-1093

15809 Bear Creek Pkwy
Ste 100
Redmond, WA 98052
Phone (425) 882-6100

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

3556 Market Pl W
Ste 109
University Place, WA 98466
Phone (253) 215-1095

Interoperability endpoints

  • Direct secure messaging: efang3996794@ghc.direct-ci.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1528176781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST.",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-520-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6322 Roosevelt Way NE",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981156625",
            "country_code": "US",
            "telephone_number": "206-201-0544",
            "fax_number": "206-201-0546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31675 Pacific Hwy S Ste 100",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980035407",
            "country_code": "US",
            "telephone_number": "253-215-1093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15809 Bear Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980521542",
            "country_code": "US",
            "telephone_number": "425-882-6100",
            "fax_number": "425-882-7690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANG",
        "first_name": "EVELYN",
        "middle_name": "YU-TING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60717502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.