Individual provider Active NPI

Xiang Yang, PA

  • Physician Assistant
  • Naperville, IL
National Provider Identifier
1730394297
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1603 Pathway Dr
Naperville, IL 60565-9308
Phone
(630) 357-5410
NPI assigned
May 10, 2007
Last updated
Feb 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X IL Primary

Addresses

Primary practice location

1603 Pathway Dr
Naperville, IL 60565-9308

Mailing address

1603 Pathway Dr
Naperville, IL 60565-9308
Phone (630) 357-5410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100830000753 IL Practitioner - Physician Assistant 7517081425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skyline Physicians LLCGroup PAC ID 9133367931, 8 clinicians

Practice addresses (Care Compare)

1200 Roosevelt Rd
Suite 140
Glen Ellyn, IL 60137-7813
Phone (708) 307-2103

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Y T Primary Care PC Physician Assistant Past Accepting new patients
Optimal Potential, Inc. Past Accepting new patients
Foundation for Emergency Services Past Accepting new patients
Chicago Reach Foundation Past Accepting new patients
Healthy Connection Physical Medicine DG Inc. PastSince Feb 3, 2014 Accepting new patients
Healthy Connection Physical Medicine Inc Past Accepting new patients

Organizations & group practices 7

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 1

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1730394297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 PATHWAY DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605659308",
            "telephone_number": "630-357-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 PATHWAY DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605659308",
            "telephone_number": "630-357-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "XIANG",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.