Organization Active NPI

Mike Yuan MD PA

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1629474556
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
K7125 Issued in TX
Legal business name
MIKE YUAN MD PA
Practice address
9889 Bellaire Blvd. #128
Houston, TX 77036
Phone
(713) 490-1493
Fax
(713) 588-2428
NPI assigned
Nov 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Mike Yuan, MDNPI 1326050188
Title
Owner
Phone
(713) 490-1493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X K7125 TX Primary

Addresses

Primary practice location

9889 Bellaire Blvd. #128
Houston, TX 77036

Mailing address

9889 Bellaire Blvd. #128
Houston, TX 77036
Phone (713) 490-1493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150107000154 TX Part B Supplier - Clinic/Group Practice 2961725528 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

9889 Bellaire Blvd
Ste 128
Houston, TX 77036
Phone (713) 490-1493

9440 Bellaire Blvd
Ste 200
Houston, TX 77036
Phone (713) 490-1493

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1629474556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9889 BELLAIRE BLVD. #128",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77036",
            "telephone_number": "713-490-1493",
            "fax_number": "713-588-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9889 BELLAIRE BLVD. #128",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77036",
            "telephone_number": "713-490-1493",
            "fax_number": "713-588-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE YUAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "YUAN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-490-1493",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "K7125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.