Individual provider Active NPI

Yi Mao, MBBS

  • Neurology Physician
  • Spokane, WA
National Provider Identifier
1629327986
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD60707371 Issued in WA
Practice address
101 W 8TH Ave
Spokane, WA 99204-2307
Phone
(509) 474-2894
NPI assigned
Sep 2, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD60707371 WA Primary
Vascular Neurology Physician 2084V0102X 0101280478 VA

Addresses

Primary practice location

101 W 8TH Ave
Spokane, WA 99204-2307

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone (866) 747-2455

Other practice location 1

12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344
Phone (757) 534-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, GA, NC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20170622002818 WA Practitioner - Neurology 0547538118 Reassigns benefits to 10 organizations
I20230906003000 OR Practitioner - Neurology 0547538118 Reassigns benefits to 1 organization
I20240403000576 GA Practitioner - Neurology 0547538118 Reassigns benefits to 2 organizations
I20240403001596 NC Practitioner - Neurology 0547538118 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians
Providence Health and Services- WashingtonGroup PAC ID 1557408176, 219 clinicians
Providence Health and Services - WashingtonGroup PAC ID 2860552973, 266 clinicians
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians
Providence Health and Services WashingtonGroup PAC ID 6709782600, 480 clinicians
Providence Health and Services- WashingtonGroup PAC ID 8325100480, 527 clinicians
Providence Health and Services WashingtonGroup PAC ID 0345139929, 778 clinicians

Practice addresses (Care Compare)

Spokane, WA 99224
Phone (206) 386-6787

101 W 8TH Ave
Spokane, WA 99204-2307
Phone (509) 474-3131

5300 Tallman Ave NW
4 North
Seattle, WA 98107-3932

Hospital & facility affiliations

  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054
  • Providence Holy Family Hospital Hospital, Spokane, WA, CCN 500077
  • Good Samaritan Regional Medical Center Hospital, Corvallis, OR, CCN 380014
  • Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014
  • Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024

National Provider Directory

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

Practice roles (25 of 26)

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Jan 29, 2020 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 29, 2020 Accepting new patients
Providence Health & Services- Washington CurrentSince Jan 29, 2020 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Providence Medical Institute CurrentSince Jan 29, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jul 24, 2023 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Apr 12, 2024 Accepting new patients
Providence Health & Services Washington CurrentSince Aug 1, 2017 Accepting new patients
Providence Medical Institute CurrentSince Jan 29, 2020 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Providence Health & Services Washington CurrentSince Aug 1, 2017 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jul 24, 2023 Accepting new patients
Providence Health & Services- Washington CurrentSince Jan 29, 2020 Accepting new patients
Providence Health and Services Oregon CurrentSince Jan 29, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jul 24, 2023 Accepting new patients
Providence Health & Services Mt CurrentSince Jan 29, 2020 Accepting new patients
Carteret County General Hospital Corporation CurrentSince Feb 5, 2024 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Mar 1, 2024 Accepting new patients
Swedish Health Services CurrentSince Aug 23, 2022 Accepting new patients
Providence Health & Services Washington CurrentSince Jan 29, 2020 Accepting new patients
Providence Health & Services - Washington CurrentSince Jan 29, 2020 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Apr 12, 2024 Accepting new patients

Locations

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

5300 Tallman Ave NW
#4
Seattle, WA 98107
Phone (206) 297-5100

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ymao819282@wm.providencedirect.org
  • Direct secure messaging: ymao459336@direct.nebraskamed.com

Organizations & group practices 25

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 25

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1629327986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421",
            "telephone_number": "866-747-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042307",
            "telephone_number": "509-474-2894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12200 Warwick Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236012344",
            "country_code": "US",
            "telephone_number": "757-534-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAO",
        "first_name": "YI",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-02",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD60707371",
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "VA",
            "license": "0101280478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.