NPIMap

Individual provider Active NPI

Daniel T Yang, MD

  • Internal Medicine Physician
  • Spokane, WA
National Provider Identifier
1649372756
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00042479 Issued in WA
Practice address
9631 N Nevada St Ste 300
Spokane, WA 99218-1193
Phone
(509) 489-4040
Fax
(509) 489-9190
NPI assigned
Sep 1, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00042479 WA Primary

Addresses

Primary practice location

9631 N Nevada St Ste 300
Spokane, WA 99218-1193

Mailing address

9631 N. Nevada Street
Suite 300
Spokane, WA 99218-1134
Phone (509) 489-4040

Other practice location 1

406 E Rowan Ave
Suite 200
Spokane, WA 99207-1201
Phone (509) 489-4040 ext. 117

Other identifiers 7

IdentifierTypeStateIssuer
1118959MedicaidWA
1649372756OtherWANPI
DH1103OtherWARAILROAD MEDICARE GROUP NUMBER
178539OtherL&I
1134301989OtherWANPI CORP
P00472574OtherWARAILROAD MEDICARE PTAN
8853289OtherWAMEDICARE GROUP PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dyang327399@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20040402000271 WA Practitioner - Internal Medicine 4880686310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Wisconsin, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 E Columbia Ave
Colville, WA 99114-3354
Phone (509) 684-3701

9911 N Nevada St
Suite 200
Spokane, WA 99218-1298
Phone (509) 626-9420

Hospital & facility affiliations

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington Internal Medicine CurrentSince Aug 15, 2018 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

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

9631 N Nevada St
Ste 300
Spokane, WA 99218
Phone (509) 465-3919

9911 N Nevada St
Ste 200
Spokane, WA 99218
Phone (509) 626-9420

Interoperability endpoints

  • Direct secure messaging: dyang327399@wm.providencedirect.org

Organizations & group practices 3

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 7

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649372756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9631 N. NEVADA STREET",
            "address_2": "SUITE 300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181134",
            "telephone_number": "509-489-4040",
            "fax_number": "509-489-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9631 N NEVADA ST STE 300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181193",
            "telephone_number": "509-489-4040",
            "fax_number": "509-489-9190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 E Rowan Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992071201",
            "country_code": "US",
            "telephone_number": "509-489-4040 x117",
            "fax_number": "509-489-9190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "DANIEL",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2022-07-21",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00042479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1118959",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649372756",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP NUMBER",
            "identifier": "DH1103",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "178539",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CORP",
            "identifier": "1134301989",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00472574",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "8853289",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dyang327399@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "9911 N Nevada St Ste 200",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992181298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.