Individual provider Active NPI

Theodore Kuo-Chun Yang, MD

  • Radiation Oncology Physician
  • The Woodlands, TX
National Provider Identifier
1689674483
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
J6053 Issued in TX
Practice address
25511 Budde Rd
Suite 1201
The Woodlands, TX 77380-2080
Phone
(281) 364-1707
Fax
(281) 364-0028
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X J6053 TX Primary

Addresses

Primary practice location

25511 Budde Rd
Suite 1201
The Woodlands, TX 77380-2080

Mailing address

PO Box 8399
The Woodlands, TX 77387-8399
Phone (281) 364-1707

Other identifiers 4

IdentifierTypeStateIssuer
117273605MedicaidTX
117273606MedicaidTX
00251TOtherTXGROUP MEDICARE
159064801OtherTXGROUP MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120523000333 TX Practitioner - Radiation Oncology 2264695691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Houston Radiation Oncology, P.a.Group PAC ID 7416925938, 4 clinicians

Practice addresses (Care Compare)

11950 Galveston Rd
Houston, TX 77034-4855
Phone (713) 512-3200

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

Merit-based Incentive Payment System (MIPS)

Final score
80.27 of 100Reported as group
Quality
60.54
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J6053TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Houston Radiation Oncology, P.a. Radiation Oncology CurrentSince Jul 1, 2015 Accepting new patients
Greater Houston Radiation Oncology PA Radiation Oncology CurrentSince Jul 1, 2015 Accepting new patients

Locations

1140 Cypress Station Dr
Ste 200
Houston, TX 77090
Phone (832) 232-5559

11950 Galveston Rd
Houston, TX 77034
Phone (713) 412-3200

1140A Cypress Station Dr
Ste 100
Houston, TX 77090

112 Medical Park Ln
Huntsville, TX 77340
Phone (936) 291-7900

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

135 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 404-3000

25511 Budde Rd
Ste 1201
The Woodlands, TX 77380
Phone 2813641707 ext. 201

Interoperability endpoints

  • Direct secure messaging: tyang458967@direct.stlukeshealth.org
  • Direct secure messaging: tyang64653@memorialhermann.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1689674483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8399",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773878399",
            "telephone_number": "281-364-1707",
            "fax_number": "281-364-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25511 BUDDE RD",
            "address_2": "SUITE 1201",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802080",
            "telephone_number": "281-364-1707",
            "fax_number": "281-364-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "THEODORE",
        "middle_name": "KUO-CHUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "J6053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117273605",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117273606",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "00251T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "159064801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.